Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Tumours
Abstract number: 25452
COMPLICATIONS OF SURGICAL TREATMENT OF EXTREMITY AND TRUNK
SOFT TISSUE SARCOMA
Oluwaseyi IDOWU 1 , QI YIN 2
1 royal Liverpool And Broadgreen University Hospitals, Liverpool (UNITED
KINGDOM), 2 royal Liverpoool And Broadgreen Hospitals, Liverpool (UNITED
KINGDOM)
INTRODUCTIONThe management of Soft Tissue Sarcoma is often associated with
extensive tissue resection to achieve a good margin. We reviewed significant
complications following surgical treatment for soft tissue sarcoma of the extremity
and superficial trunk. PATIENTS AND METHODThis is a 7 year retrospective study
involving patients presenting with extremity and trunk soft tissue sarcoma from
January 2002 till December 2008 at the Royal Liverpool and Broadgreen University
Orthopaedic Oncology unit. The minimum follow up period was 12 months and all
patients records were reviewed with emphasis on significant post operative
complications.RESULTS126 patients were eligible for the study with age range
between 16 years and 96 years. The histological profile included, fibrosarcoma in
24% [n=30], liposarcoma in 23% [n= 29], leiomyosarcoma in 19% [n=24],
undifferentiated sarcoma in 10% [n=13]. There were 41 % high grade, 13%
intermediate and 32% low grade tumours. A significant proportion of the masses
were located in the thigh and buttock [55%]. Wide local excision was possible in
48%, and amputation was performed in 13% of the patients. The common
complications include treatment failure in form of local recurrence in 17.5% [n=15]
and distant metastases in 15.1% [n=13]. Surgical complications such as seroma
formation [22%] and wound infection [11.6%] were also recordedCONCLUSIONThe
management of soft tissue sarcoma is associated with significant morbidity.
Adequate awareness about the common complications and appropriate preoperative
treatment plan may improve the overall management of patients.
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