Djafarrian Reza, Zingg Tobias, Digklia Antonia, Becce Fabio, Özsahin Esat Mahmut, La Rosa Stefano, Demartines Nicolas, Matter Maurice
Service de chirurgie viscérale et Centre des sarcomes, CHUV, 1011 Lausanne.
Service d'oncologie médicale et Centre des sarcomes, CHUV, 1011 Lausanne.
Rev Med Suisse. 2021 Jun 16;17(743):1172-1176.
Sarcomas are rare tumors divided into two categories: soft tissue sarcomas and bone sarcomas. A soft tissue mass measuring more than 5 cm, deep, growing, atypical or symptomatic should be investigated further and referred to a specialized center. A percutaneous image-guided biopsy should always be performed in suspicious cases. Standard treatment is surgical. Radiotherapy and chemotherapy should be discussed in a multidisciplinary meeting. Recurrence is frequent and close follow-up of patients over the long term is necessary. A high degree of suspicion is required for any atypical abdominal lesion and the patient should be referred to a specialized sarcoma center as soon as possible instead of performing a surgical biopsy.
肉瘤是罕见肿瘤，分为两类：软组织肉瘤和骨肉瘤。对于一个深度超过5厘米、不断生长、形态异常或有症状的软组织肿块，应进一步检查并转诊至专业中心。对于可疑病例，应始终进行经皮影像引导下活检。标准治疗方法是手术。放疗和化疗应在多学科会议上进行讨论。复发很常见，因此有必要对患者进行长期密切随访。对于任何非典型腹部病变都需要高度怀疑，患者应尽快转诊至专业肉瘤中心，而不是进行手术活检。
