Department of Orthopedic Surgery, Osaka Metropolitan University Graduate School of Medicine, 1-4-3 Asahi-Machi, Abeno-Ku, Osaka, 545-8585, Japan.
Sci Rep. 2022 Nov 14;12(1):19527. doi: 10.1038/s41598-022-24158-w.
Fifteen years have passed since the soft tissue tumor practice guidelines were first published in Japan. Tumor size of ≥ 5 cm and tumor depth were key findings suggestive of malignant soft tissue tumors. We reviewed the referral documents provided by the referring physicians to see if these two findings were reported. The study was conducted from January 2007 to December 2021 and included 142 patients (83 men and 59 women; median age, 64 [6-94] years) with malignant soft tissue tumors. Patient referral documents from physicians were screened for descriptions of the tumor size and depth. The tumor size, depth, and both were described in 51.4%, 36.6%, and 23.2% of the referrals, respectively. Both findings were mentioned in 23.8%, 21.7%, and 25.0% of referrals in 2007-2011, 2012-2016, and 2017-2021, respectively. Of orthopedic surgeons and other physicians, 61.2% and 38.6%, respectively, described the tumor size. Whether the general physicians could follow the soft tissue tumor practice guidelines was difficult to conclude by reviewing patient referral documents. However, orthopedic surgeons seemed to pay more attention to tumor size. Awareness regarding soft tissue tumor practice guidelines should be increased to help diagnose malignant soft tissue tumors early.
自日本首次发布软组织肿瘤实践指南以来，已经过去了 15 年。肿瘤大小≥5cm 和肿瘤深度是提示恶性软组织肿瘤的关键发现。我们回顾了转诊医生提供的转诊文件，以查看是否报告了这两个发现。该研究于 2007 年 1 月至 2021 年 12 月进行，共纳入 142 名患有恶性软组织肿瘤的患者（83 名男性和 59 名女性；中位年龄为 64[6-94]岁）。筛选了医生提供的患者转诊文件，以描述肿瘤的大小和深度。肿瘤大小、深度和两者在转诊中分别描述了 51.4%、36.6%和 23.2%。在 2007-2011 年、2012-2016 年和 2017-2021 年的转诊中，这两个发现分别分别在 23.8%、21.7%和 25.0%的转诊中提及。骨科医生和其他医生分别有 61.2%和 38.6%描述了肿瘤大小。仅通过审查患者转诊文件，很难确定一般医生是否能够遵循软组织肿瘤实践指南。然而，骨科医生似乎更关注肿瘤大小。应该提高对软组织肿瘤实践指南的认识，以帮助早期诊断恶性软组织肿瘤。
