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[肢体局限性高级别软组织肉瘤的多模式治疗:成人软组织肉瘤当前S3指南及软组织和内脏肉瘤ESMO指南的总结与讨论]

[Multimodal treatment of localized high-grade soft tissue sarcomas of the extremities : Summary and discussion of the current S3 guidelines on adult soft tissue sarcomas and the ESMO guidelines on soft tissue and visceral sarcomas].

作者信息

Schopow Nikolas, Hohenberger Peter, Gockel Ines, Osterhoff Georg

机构信息

Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland.

Sektion Spezielle chirurgische Onkologie und Thoraxchirurgie, Chirurgische Klinik, Universitätsklinikum Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.

出版信息

Chirurgie (Heidelb). 2023 May;94(5):424-431. doi: 10.1007/s00104-023-01872-3. Epub 2023 Apr 11.

Abstract

Soft tissue sarcomas are rare, heterogeneous tumors that are frequently in the extremities. Treatment includes surgical resection, combination chemotherapy and/or radiotherapy, as well as supplementary procedures such as isolated limb perfusion and regional deep hyperthermia. The prognosis depends on the tumor stage and the approximately 70 histological subtypes, with specific treatment approaches existing only for some subtypes. This review summarizes the recommendations of the German S3 guideline "Adult Soft Tissue Sarcomas" and the European Society for Medical Oncology (ESMO) guideline "Soft tissue and visceral sarcomas" regarding the diagnostic workup and therapy of soft tissue sarcomas of the extremities.

摘要

软组织肉瘤是罕见的异质性肿瘤,常发生于四肢。治疗方法包括手术切除、联合化疗和/或放疗,以及诸如隔离肢体灌注和区域深部热疗等辅助程序。预后取决于肿瘤分期和大约70种组织学亚型,只有某些亚型存在特定的治疗方法。本综述总结了德国S3指南“成人软组织肉瘤”和欧洲医学肿瘤学会(ESMO)指南“软组织和内脏肉瘤”关于四肢软组织肉瘤诊断检查和治疗的建议。

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