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The Importance of the Multidisciplinary Approach to Surgical Treatment of Extremity Soft-Tissue Sarcomas
Department of Melanoma and Soft Tissue Sarcoma from Prevent Senior Sao Paulo Group, Sao Paulo, Brasil
Department of Melanoma and Soft Tissue Sarcoma from Prevent Senior Sao Paulo Group, Sao Paulo, Brasil
Oncology Surgical Department of Evangélico Mackenzie University Hospital, Curitiba, Paraná
Oncology Surgical Department of Evangélico Mackenzie University Hospital, Curitiba, Paraná
Oncology Surgical Department of Evangélico Mackenzie University Hospital, Curitiba, Paraná
Oncology Surgical Department of Evangélico Mackenzie University Hospital, Curitiba, Paraná
Plastic Surgery of Sao Vicente Hospital, Curitiba, Paraná
Ponta Grossa State University, Paraná, Brasil
Paraná Military State Hospital, Curitiba, Paraná, Brazil
- 1 Department of Melanoma and Soft Tissue Sarcoma from Prevent Senior Sao Paulo Group, Sao Paulo, Brasil
- 2 Department of Melanoma and Soft Tissue Sarcoma from Prevent Senior Sao Paulo Group, Sao Paulo, Brasil
- 3 Oncology Surgical Department of Evangélico Mackenzie University Hospital, Curitiba, Paraná
- 4 Oncology Surgical Department of Evangélico Mackenzie University Hospital, Curitiba, Paraná
- 5 Oncology Surgical Department of Evangélico Mackenzie University Hospital, Curitiba, Paraná
- 6 Oncology Surgical Department of Evangélico Mackenzie University Hospital, Curitiba, Paraná
- 7 Plastic Surgery of Sao Vicente Hospital, Curitiba, Paraná
- 8 Ponta Grossa State University, Paraná, Brasil
- 9 Paraná Military State Hospital, Curitiba, Paraná, Brazil
Journal of Cancer Therapy·Volume 11 (2020)·Pages 772–784·Published 2 December 2020·DOI10.4236/jct.2020.1112067
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Abstract
Soft tissue sarcomas (STS) are rare neoplasm with frequencies around 1% of all neoplasms. Although it consists of a high heterogeneous group of tumors, surgery is the mean treatment. The STS surgery is still challenging and complex procedure is usually required: this is because STS requires different types of resection and reconstruction due to various tissue-commitment s (nerve, arteries, skin and muscle). So, a multidisciplinary team must be prepared for STS approach to obtain the maximum local control and a limited extremity functional impairment. We, here, showing our experience, wish to introduce some technical contrivances in STS surgery, with special reference to tissue reconstruction. This may illustrate the necessity of a multidisciplinary team approach in this surgery.
KeywordsLimb-Sparing SurgeryMusculoskeletal OncologySarcomaSoft-Tissue Sarcoma
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