Almas Talal, Khan Muhammad Kashif, Murad Muhammad Faisal, Ullah Muneeb, Shafi Adil, Ehtesham Maryam, Zaidi Syed Muhammad Jawad, Hussain Salman, Kaneez Mehwish
Internal Medicine, Royal College of Surgeons in Ireland, Dublin, IRL.
Surgical Oncology, Federal Government Poly Clinic (Post Graduate Medical Institute), Islamabad, PAK.
Cureus. 2020 Aug 21;12(8):e9913. doi: 10.7759/cureus.9913.
Introduction Soft tissue sarcomas remain an exceedingly rare malignancy. While soft tissue sarcomas boast a high mortality rate, their characteristics and behavior patterns are poorly understood. This study aims to evaluate the various aspects that pertain to soft tissue sarcomas, including their histology, tumor characteristics, survival rates, and therapeutic modalities. Methods A retrospective study analyzing the data from 19 patients presenting over four years with a histologically confirmed diagnosis of soft tissue sarcomas was conducted. The patients were studied for various parameters, including tumor site and the particular pathological subtypes. The data obtained were analyzed using the SPSS 23.0 statistical software (IBM Corporation, Armonk, NY), and the results were then tabulated. Results A total of 19 patients with a confirmed diagnosis of a soft tissue sarcoma were included in the study. The mean age of the patients included was 45.32 ± 16.88 years. Wide local excision was the most common surgical procedure employed for the resection of these tumors. Within the cohort, the mortality rate was noted to hover at 10.52%. Gastrointestinal stromal tumors were observed in 21% of the patients and were therefore the most common histological subtype. Of the patients included, 42.10% required blood transfusion during the perioperative time. Most of the tumors were noted to be intermediate grade, with high-grade tumors observed in 26.3% of the cases. Conclusion Soft tissue sarcomas remain a rare but potent cause of death in developing countries. The diversity of the tissues that they afflict renders their prompt detection a diagnostic challenge. A meticulous exploration of the various characteristics honed by soft tissue sarcomas, such as the particular histological subtype and the associated mortality rates, can better elucidate the prognosis and the eventual disease outcomes.
引言 软组织肉瘤仍然是一种极其罕见的恶性肿瘤。虽然软组织肉瘤死亡率很高,但其特征和行为模式却鲜为人知。本研究旨在评估与软组织肉瘤相关的各个方面,包括其组织学、肿瘤特征、生存率和治疗方式。
方法 进行了一项回顾性研究,分析了19例在四年内出现经组织学确诊为软组织肉瘤的患者的数据。对患者进行了各种参数的研究,包括肿瘤部位和特定的病理亚型。使用SPSS 23.0统计软件(IBM公司,纽约州阿蒙克)对获得的数据进行分析,然后将结果制成表格。
结果 本研究共纳入19例确诊为软组织肉瘤的患者。纳入患者的平均年龄为45.32±16.88岁。广泛局部切除是切除这些肿瘤最常用的外科手术。在该队列中,死亡率徘徊在10.52%。21%的患者观察到胃肠道间质瘤,因此是最常见的组织学亚型。纳入的患者中,42.10%在围手术期需要输血。大多数肿瘤被 noted 为中级,26.3%的病例观察到高级肿瘤。
结论 在发展中国家,软组织肉瘤仍然是一种罕见但致命的死因。它们所累及组织的多样性使其快速检测成为一项诊断挑战。对软组织肉瘤所具有的各种特征,如特定的组织学亚型和相关死亡率进行细致探究,能够更好地阐明预后和最终的疾病结局。