Arca M J, Sondak V K, Chang A E
Division of Surgical Oncology, University of Michigan, Ann Arbor.
Semin Surg Oncol. 1994 Sep-Oct;10(5):323-31. doi: 10.1002/ssu.2980100504.
The diagnosis and preoperative evaluation of patients with a suspected soft tissue sarcoma involve several important considerations to ensure optimal treatment outcomes. Biopsy techniques must involve the retrieval of adequate tissue to establish the histologic diagnosis and grade of the tumor without compromising the subsequent definitive surgical resection. CT or MRI techniques represent the gold standard to evaluate the local extent of disease which is necessary to ascertain surgical resectability and/or the need for radiation therapy. CT scanning of the lungs is mandated for all patients with sarcomas to evaluate for metastatic disease and, for patients with abdominal or retroperitoneal tumors, scanning of the liver should also be included. Accurate staging of these patients will help define overall survival.
疑似软组织肉瘤患者的诊断和术前评估涉及几个重要的考量因素，以确保获得最佳治疗效果。活检技术必须获取足够的组织，以确立肿瘤的组织学诊断和分级，同时又不影响后续的确定性手术切除。CT或MRI技术是评估疾病局部范围的金标准，这对于确定手术可切除性和/或放疗需求至关重要。所有肉瘤患者都必须进行肺部CT扫描以评估是否存在转移性疾病，对于腹部或腹膜后肿瘤患者，还应包括肝脏扫描。对这些患者进行准确分期将有助于确定总生存期。
