Management of vascular involvement in extremity soft tissue sarcoma

Jay S. Wunder, Ashish Mahendra, Yair Gortzak, Peter C. Ferguson, Benjamin M. Deheshi, Thomas F. Lindsay

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Advances in adjuvant treatment protocols and improvements in imaging techniques have helped improve the limb-salvage rate for extremity soft tissue sarcomas to approximately 95%. Moreover, improvements in operative techniques have enabled successful limb-salvage surgery to be performed even in the face of vascular invasion or encasement by tumor. En bloc resection of major vascular structures with the tumor and reconstruction with reversed saphenous vein grafts, femoral venous grafts, or synthetic grafts has proved to be a feasible option in limb-salvage surgery. However, the surgical oncologist and patient should be aware that although overall function is only slightly worse after these procedures, individual functional results are less predictable. In addition, procedures requiring vascular resection and reconstruction are associated with an increased risk of complications, including amputation.

Original languageEnglish
Title of host publicationTreatment of Bone and Soft Tissue Sarcomas
Pages285-299
Number of pages15
DOIs
StatePublished - 2009

Publication series

NameRecent Results in Cancer Research
Volume179
ISSN (Print)0080-0015

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