Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Tumours
Abstract number: 26329
SOFT TISSUE SARCOMAS
Vijay TITUS
Christian Medical College Vellore, Vellore (INDIA)
Soft Tissue Sarcomas are often quite large at presentation and close to
Neurovascular Structures . Between 2004 and 2009 we operated on 34 Soft Tissue
Sarcomas thigh tumors of ages between 25 yrs to 67 yrs .Lower Limb accounted for
24 tumors and the largest tumor was 38cm ..All tumors had MRI and in 96% of them
had needle biopsy was sufficient for diagnosis . Preop Embolization was used for 5
tumors . Flaps were done at the same operation in 4 cases . Radiation was used
in 27 cases and 22 had Chemotherapy . To ensure complete tumor removal after
tumor was removed the assistant was asked to point out doubtful tissue which was
also removed . All patients were followed up , the shortest being 1 year and the
longest 7 yrs . There were no post op Nerve palsies . The maximum operating time
was 6 hrs 10 minutes and the maximum blood used was 8 units. All patients was
except one able to walk unaided and reached preop functional status . There was
one case of local recurrence which had re excision .There were 2 cases of distant
metastases . There was always excess skin due to large size of tumors and excess
skin was removed . In 6 cases there was skin necrosis which was resutured . In the
medial thigh tumors lymph may necessitate leaving drain longer . We believe
meticulous dissection and complete removal of tumor gives good results and
improves long term prognosis .
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