The adverse effect of an unplanned surgical excision of foot soft tissue sarcomaReportar como inadecuado

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World Journal of Surgical Oncology

, 9:160

First Online: 05 December 2011Received: 26 May 2011Accepted: 05 December 2011


BackgroundMalignant soft tissue tumors of the foot are extremely rare and thus can be prematurely excised without appropriate preoperative evaluation. The present study compares adverse effects between unplanned and planned surgical excisions.

MethodsWe retrospectively reviewed the clinical records, radiographs, pathology reports and pathological specimens of 14 consecutive patients with soft tissue sarcoma of the foot among 592 with sarcomas between 1973 and 2009. We then compared the incidence and clinical outcomes after unplanned UT; n = 5 and planned PT; n = 9 surgical excisions of foot sarcomas.

ResultsThe most frequent diagnosis was synovial sarcoma n = 4; 28.6%. The overall 5-year survival rates of the PT and UT groups were 65.6% and 60.0%, respectively, and the event-free 5-year survival rates were 63.5% and 40.0%, respectively. Event-free and overall survival rates did not significantly differ between the two groups. However, tumors were significantly larger in the PT group than in the UT group p < 0.05.

ConclusionsUnplanned resection lead to a relatively worse prognosis and a likelihood of recurrence despite additional resections. We recommend that soft tumors of the foot should only be excised after appropriate preoperative evaluation regardless of the size of the tumor.

Electronic supplementary materialThe online version of this article doi:10.1186-1477-7819-9-160 contains supplementary material, which is available to authorized users.

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Autor: Akinobu Nishimura - Akihiko Matsumine - Kunihiro Asanuma - Takao Matsubara - Tomoki Nakamura - Atsumasa Uchida - Ko Kato -


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