Top

Published in:

01-08-2011 | Bone and Soft Tissue Sarcomas

Surgery in Retroperitoneal Soft Tissue Sarcoma: A Call for a Consensus Between Europe and North America

Authors: Alessandro Gronchi, MD, Raphael Pollock, MD

Published in: Annals of Surgical Oncology | Issue 8/2011

Excerpt

What is the proper approach to retroperitoneal sarcoma (RPS)? Can we define what is adequate and what is not? A debate on this issue between several European and North American experts has taken place in the literature during the past several years. Two possibly quite different approaches have been proposed that converge on a shared goal: to define the best strategy for patients everywhere. The article by Mussi et al. lends credence to several alternative perspectives.1 We would like to offer the reader these different views for consideration and make a suggestion regarding how to arrive at a consensus. …

Mussi C, Colombo P, Bertuzzi A, et al. Retroperitoneal sarcoma: is it time to change surgical policy? Ann Surg Oncol. (in press).

Bonvalot S, Rivoire M, Castaing M, et al. Primary retroperitoneal sarcomas: a multivariate analysis of surgical factors associated with local control. J Clin Oncol. 2009;27:31–7.PubMedCrossRef

Gronchi A, Lo Vullo S, Fiore M, et al. Aggressive surgical policies in a retrospectively reviewed single-institution case series of retroperitoneal soft tissue sarcoma patients. J Clin Oncol. 2009;27:24–30.PubMedCrossRef

Russo P, Kim Y, Ravindran S, et al. Nephrectomy during operative management of retroperitoneal sarcoma. Ann Surg Oncol. 1997;4(5):421–4.PubMedCrossRef

Stojadinovic A, Leung DH, Hoos A, et al. Analysis of the prognostic significance of microscopic margins in 2,084 localized primary adult soft tissue sarcomas. Ann Surg. 2002;235:424–34.PubMedCrossRef

Gronchi A, Lo Vullo S, Colombo C, et al. Extremity soft tissue sarcoma in a series of patients treated at a single institution: local control directly impacts survival. Ann Surg. 2010;251:512–7.CrossRef

Trovik CS, Bauer HC, Alvegard TA, et al. Surgical margins, local recurrence and metastasis in soft tissue sarcomas: 559 surgically-treated patients from the Scandinavian Sarcoma Group register. Eur J Cancer. 2000;36(6):710–6.PubMedCrossRef

Zagars GK, Ballo MT, Pisters PWT, et al. Prognostic factors for patients with localized soft-tissue sarcoma treated with conservation surgery and radiation therapy. Cancer. 2003;97:2530–43.PubMedCrossRef

Bonvalot S, Miceli R, Berselli M. Aggressive surgery in retroperitoneal soft tissue sarcoma carried out at high-volume centers is safe and is associated with improved local control. Ann Surg Oncol. 2010;17:1507–14.PubMedCrossRef

10.

Tseng WH, Martinez SR, Tamurian RM, et al. Contiguous organ resection is safe in patients with retroperitoneal sarcoma: an ACS-NSQIP analysis. J Surg Oncol. 2011;103(5):390–4.PubMedCrossRef

11.

Stojadinovic A, Leung DHY, Allen P, et al. Primary adult soft tissue sarcoma: time-dependent influence of prognostic variables. J Clin Oncol. 2002;20:4344–52.PubMedCrossRef

12.

Lewis JJ, Leung D, Woodruff JM, et al. Retroperitoneal soft-tissue sarcoma: analysis of 500 patients treated at a single institution. Ann Surg. 1998;228:355–65.PubMedCrossRef

13.

Ardoino I, Miceli R, Berselli M, et al. Histology-specific nomogram for primary retroperitoneal soft tissue sarcoma. Cancer. 2010;116:2429–36.PubMed

14.

Anaya DA, Lahat G, Wang X, et al. Postoperative nomogram for survival of patients with retroperitoneal sarcoma treated with curative intent. Ann Oncol. 2009;249:1014–22.

15.

Storm FK, Mahvi DM. Diagnosis and management of retroperitoneal soft-tissue sarcoma. Ann Surg. 1991;214:2–10.PubMedCrossRef

16.

Brennan MF. The enigma of local recurrence. Ann Surg Oncol. 1997;4:1–12.PubMedCrossRef

17.

Anaya DA, Lahat G, Wang X, et al. Establishing prognosis in retroperitoneal sarcoma: a new histology-based paradigm. Ann Surg Oncol. 2009;16:667–75.PubMedCrossRef

18.

Carbajal EF, Baranov SA, Young ED, et al. Revealing retroperitoneal liposarcoma morphology using optical coherence tomography. J Biomed Optics. 2011;16:205021–3.CrossRef

Title: Surgery in Retroperitoneal Soft Tissue Sarcoma: A Call for a Consensus Between Europe and North America
Authors: Alessandro Gronchi, MD
Raphael Pollock, MD
Publication date: 01-08-2011
Publisher: Springer-Verlag
Published in: Annals of Surgical Oncology / Issue 8/2011
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-011-1746-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Surgery in Retroperitoneal Soft Tissue Sarcoma: A Call for a Consensus Between Europe and North America

Excerpt

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 8/2011

Quality of Care Management Decisions by Multidisciplinary Cancer Teams: A Systematic Review

Strategic Impact of a New Academic Endocrine Surgery Program

Multidisciplinary Teams and Clinics: Better Care or Just More Care

Association of Elevated HIF-2α Levels with Low Beclin 1 Expression and Poor Prognosis in Patients with Chondrosarcoma

Loss of Sympathetic Nerve Fibers Around Intratumoral Arterioles Reflects Malignant Potential of Gastric Cancer

Antiangiogenic Therapy for Primary Liver Cancer: Correlation of Changes in Dynamic Contrast-Enhanced Magnetic Resonance Imaging with Tissue Hypoxia Markers and Clinical Response