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01-09-2021 | Soft Tissue Sarcoma | Point of Technique

In Situ Preparation for Nerve Preservation in Extremity Soft Tissue Sarcoma. Point of Surgical Technique

Authors: Anand Raja, Vishnu Ramanujan, Chandra Kumar Krishnan, Vivek Patel

Published in: Indian Journal of Surgical Oncology | Issue 3/2021

Excerpt

The standard of care in extremity soft tissue sarcoma is multimodal therapy with surgery, radiation, and chemotherapy to achieve optimal outcomes [1]. Sarcomas often abut/infiltrate/encase major neurovascular structures. Surgery may entail resection structures or amputation with their attendant morbidity. Treatment strategies for these patients may include neoadjuvant therapy, resection, and reconstruction of nerves/vessels [2, 3]. …

Smolle MA, Andreou D, Tunn PU, Szkandera J, Liegl-Atzwanger B, Leithner A (2017) Diagnosis and treatment of soft-tissue sarcomas of the extremities and trunk. EFORT Open Rev 2(10):421–431. https://doi.org/10.1302/2058-5241.2.170005CrossRefPubMedPubMedCentral

Pasquali S, Gronchi A (2017) Neoadjuvant chemotherapy in soft tissue sarcomas: latest evidence and clinical implications. Ther Adv Med Oncol 9(6):415–429. https://doi.org/10.1177/1758834017705588CrossRefPubMedPubMedCentral

Schwarzbach MH, Hormann Y, Hinz U et al (2005) Results of limb-sparing surgery with vascular replacement for soft tissue sarcoma in the lower extremity. J Vasc Surg 42(1):88–97. https://doi.org/10.1016/j.jvs.2005.03.017CrossRefPubMed

Kawaguchi N, Matumoto S, Manabe J (1995) New method of evaluating the surgical margin and safety margin for musculoskeletal sarcoma, analysed on the basis of 457 surgical cases. J Cancer Res Clin Oncol 121(9–10):555–563. https://doi.org/10.1007/BF01197769CrossRefPubMed

Matsumoto S, Kawaguchi N, Manabe J, Matsushita Y (2002) “In situ preparation”: new surgical procedure indicated for soft-tissue sarcoma of a lower limb in close proximity to major neurovascular structures. Int J Clin Oncol 7(1):51–56. https://doi.org/10.1007/s101470200006CrossRefPubMed

Title: In Situ Preparation for Nerve Preservation in Extremity Soft Tissue Sarcoma. Point of Surgical Technique
Authors: Anand Raja
Vishnu Ramanujan
Chandra Kumar Krishnan
Vivek Patel
Publication date: 01-09-2021
Publisher: Springer India
Keywords: Soft Tissue Sarcoma
Sarcoma
Published in: Indian Journal of Surgical Oncology / Issue 3/2021
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI: https://doi.org/10.1007/s13193-021-01376-8

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In Situ Preparation for Nerve Preservation in Extremity Soft Tissue Sarcoma. Point of Surgical Technique

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