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Popliteal Fossa Sarcomas [Sarkomy popliteální fossy]
O. Erdogan, A. Çeli K, ANT. Yildirim, E. Tekçe, G. Altun, S. Demi Röz, Y. Güler, K. Ozkan, V. Gurkan
Jazyk angličtina Země Česko
Typ dokumentu časopisecké články
PubMed
37395425
Knihovny.cz E-zdroje
- MeSH
- dítě MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- nádory měkkých tkání * diagnóza chirurgie patologie MeSH
- předškolní dítě MeSH
- retrospektivní studie MeSH
- sarkom * diagnóza chirurgie MeSH
- senioři MeSH
- záchrana končetiny metody MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
PURPOSE OF THE STUDY Soft tissue sarcomas of the popliteal fossa are extremely rare tumors of mesenchymal origin accounting for 3%-5% of all extremity sarcomas. However, data regarding the tumor type, neurovascular involvement, and administration of radiation therapy before or after resection are limited. This study aimed to report on popliteal fossa sarcomas analyzing data from two institutions based on a relatively large patient sample. MATERIAL AND METHODS Twenty-four patients (80%; 9 men and 15 women) with a popliteal fossa soft tissue sarcoma were included in this study. The reviewed patient data included sex, age, duration of complaints, interval to diagnosis, radiology, pre- and postoperative biopsy, tumor histology, surgery type, complications, and pre- and postoperative oncologic and functional outcomes. The minimum follow-up was 24 months. RESULTS The mean age of the patients was 48 ± 21.23 (range 3-72) years at the time of diagnosis. The mean follow-up was 41.79 ± 16.97 (range 24-120) months. The most common histological diagnoses were synovial sarcoma (6 patients), hemangiopericytoma (2 patients), soft tissue osteosarcoma (2 patients), unidentified fusiform cell sarcoma (2 patients), and myxofibrosarcoma (2 patients). Local recurrence after limb salvage was observed in six patients (26%). At the latest followup, 2 patients died of the disease, 2 patients were still alive with progressive lung disease and soft tissue metastasis, and the remaining 20 patients were free from the disease. CONCLUSIONS Microscopically positive margins may not be an absolute indication for amputation. Also, negative margins do not provide a guarantee that local recurrence will not occur. Lymph node or distant metastasis may be predictive factors for local recurrence rather than positive margins. Key words: fossa poplitea, sarcoma.
Baltalimanı Training and Research Hospital Orthopaedics and Traumatology Clinic Istanbul Turkey
Bezmialem University Faculty of Medicine Orthopaedics and Traumatology Clinic Istanbul Turkey
Bezmialem University Faculty of Medicine Radiation Oncology Clinic Istanbul Turkey
Istanbul Medeniyet University Faculty of Medicine Pathology Clinic Istanbul Turkey
Kocaeli University Orthopaedics and Traumatology Clinic Kocaeli Turkey
Ümraniye Training and Research Hospital Orthopaedics and Traumatology Clinic Istanbul Turkey
Sarkomy popliteální fossy
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