Abstract
Wild resection with adjuvant radiotherapy is generally accepted as the optimal treatment for patients with extremity soft-tissue sarcomas. However, there is a subset of patients with 'difficult' tumours who sustain such marked loss of function from limb-salvage procedures that amputation might offer a superior functional alternative. To evaluate this issue, the authors prospectively designated 19 of 52 patients registered in Toronto's Princess Margaret Hospital Prospective Sarcoma Database in 1986 as 'difficult' cases, on the basis of tumour size and anatomical location. Complications and functional results of wide resection and adjuvant radiotherapy were documented. The most frequent complication was related to wound healing (8 of 19 patients). Functional analysis at 1 year follow-up demonstrated that all 19 patients had results superior to those that would be expected with amputation.
| Original language | English |
|---|---|
| Pages (from-to) | 69-73 |
| Number of pages | 5 |
| Journal | Canadian Journal of Surgery |
| Volume | 32 |
| Issue number | 1 |
| State | Published - Jan 1 1989 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
Complications and functional results after limb-salvage surgery and radiotherapy for difficult mesenchymal neoplasms : A prospective analysis. / Bell, R. S.; O'Sullivan, B.; Langer, F.; Mahoney, J. L.; Lichtenstein, S. V.; Moffat, Frederick L; Cummings, B. J.; Hawkins, N. V.; Fornasier, V. L.
In: Canadian Journal of Surgery, Vol. 32, No. 1, 01.01.1989, p. 69-73.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Complications and functional results after limb-salvage surgery and radiotherapy for difficult mesenchymal neoplasms
T2 - A prospective analysis
AU - Bell, R. S.
AU - O'Sullivan, B.
AU - Langer, F.
AU - Mahoney, J. L.
AU - Lichtenstein, S. V.
AU - Moffat, Frederick L
AU - Cummings, B. J.
AU - Hawkins, N. V.
AU - Fornasier, V. L.
PY - 1989/1/1
Y1 - 1989/1/1
N2 - Wild resection with adjuvant radiotherapy is generally accepted as the optimal treatment for patients with extremity soft-tissue sarcomas. However, there is a subset of patients with 'difficult' tumours who sustain such marked loss of function from limb-salvage procedures that amputation might offer a superior functional alternative. To evaluate this issue, the authors prospectively designated 19 of 52 patients registered in Toronto's Princess Margaret Hospital Prospective Sarcoma Database in 1986 as 'difficult' cases, on the basis of tumour size and anatomical location. Complications and functional results of wide resection and adjuvant radiotherapy were documented. The most frequent complication was related to wound healing (8 of 19 patients). Functional analysis at 1 year follow-up demonstrated that all 19 patients had results superior to those that would be expected with amputation.
AB - Wild resection with adjuvant radiotherapy is generally accepted as the optimal treatment for patients with extremity soft-tissue sarcomas. However, there is a subset of patients with 'difficult' tumours who sustain such marked loss of function from limb-salvage procedures that amputation might offer a superior functional alternative. To evaluate this issue, the authors prospectively designated 19 of 52 patients registered in Toronto's Princess Margaret Hospital Prospective Sarcoma Database in 1986 as 'difficult' cases, on the basis of tumour size and anatomical location. Complications and functional results of wide resection and adjuvant radiotherapy were documented. The most frequent complication was related to wound healing (8 of 19 patients). Functional analysis at 1 year follow-up demonstrated that all 19 patients had results superior to those that would be expected with amputation.
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UR - http://www.scopus.com/inward/citedby.url?scp=0024579566&partnerID=8YFLogxK
M3 - Article
C2 - 2910383
AN - SCOPUS:0024579566
VL - 32
SP - 69
EP - 73
JO - Canadian Journal of Surgery
JF - Canadian Journal of Surgery
SN - 0008-428X
IS - 1
ER -