Limb-sparing surgery in sarcoma of the extremities at the Hospital Oncology Service of the Instituto Venezolano de los Seguros Sociales, 2003-2015
Main Article Content
Keywords
Limb-sparing surgery, pleomorphic sarcoma, radiation therapy
Abstract
Objective: To analyze the incidence of limb sarcoma-sparing surgery in the Hospital Oncology Service of the Venezuelan Institute of Social Security (SOHIVSS) during the period 2003-2015. Methods: Descriptive, non-experimental, retrospective, cross-sectional clinical fieldwork design. A sample of 50 patients diagnosed with sarcoma and treated with preserving surgery was studied. The procedures and techniques of the statistical method were applied, organizing the data, analyzing them, presenting results in tabular and graphical form. Descriptive statistical techniques were used for this study. Results: Wide local resections were performed as an oncologic procedure in patients mostly female, aged between 49 and 59 years, whose most relevant frequency was undifferentiated pleomorphic sarcoma. The most affected extremity was the upper extremity. Conclusions: Limb-sparing surgery of sarcomas performed with wide local resection as an oncologic surgical procedure during the period 2003-2015, managed to minimize postoperative complications. The application of radiotherapy and timely follow-up is fundamental.
References
2. Conde M, Ruano A. Radioterapia intraoperatoria en sarcomas de partes blandas. Santiago de Compostela: Consellería de Sanidade. Axencia de Avaliación de Tecnoloxías Sanitarias de Galicia, avalia-t; Serie Validación de Tecnologías. 2007: 23.
3. Instituto Angel H. Roffo. Pautas en oncología; diagnóstico, tratamiento y seguimiento del cáncer. 2006; 404: 150- 154. Disponible en: http://www.institutoroffo.org/inst_uni_sarcoma_melanoma.html
4. Wibmer C, Leithner A, Zielonke N. Increasing incidence rates of soft tissue sarcomas? A population-based epidemiologic study and literature review. Ann Oncol 2010; 21 (5): 1106-11.
5. Cara JA, Gil Albarova J, Amillo S, Cañadell J. Utilización de aloinjertos masivos en la cirugía reconstructiva tumoral. Revista de ortopedia y traumatología (Madrid). 1992;36(1):8-16.
6. Clohisy DR, Mankin HJ. Osteoarticular allografts for reconstruction after resection of a musculoskeletal tumor in the proximal end of the tibia. The Journal of Bone and Joint surgery American Volume. 1994;76(4):549-54.
7. Soft tissue sarcoma. In: Edge SB, Byrd DR, Compton CC, et al, eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, pp 291-6
8. Brodowicz T, Schwameis E, Widder J, Amann G, Wiltschke C, Dominkus M, et al. Intensified adjuvant IFADIC chemotherapy for adult soft tissue sarcoma: a prospective randomized feasibility trial. Sarcoma. 2000;4(4):151-60.
9. García X. Sarcomas. Partes blandas. Mimeo. 2013: 4-8
10. Sepúlveda H. M. Clínica y generalidades del sarcoma de partes blandas. Medwave [Internet]. 1 de abril de 2004 [citado 30 de septiembre de 2022]; Disponible en: https://www.medwave.cl/puestadia/cursos/3284.html
11. Varela S, Valenzuela P, Yacsich M, Carrasco C. Tasas de incidencia y caracterización de sarcoma en la provincia de Valdivia. Cuad. Cir. 2005; 19: 27.
12. Maldonado L. Díaz G. Melendez, M. Sarcoma de partes blandas: experiencia HOPM. Rev. Venez. Oncol. 1991; 3(1):49-61.
13. Eilber FC, Rosen G, Nelson SD, Selch M, Dorey F, Eckardt J, et al. High-grade extremity soft tissue sarcomas: factors predictive of local recurrence and its effect on morbidity and mortality. Ann Surg. 2003; 237:218–26.
14. Viñals, JM. Gómez TA: Pérez D. Serra JM. Palacín JA. Higueras C. Reconstrucción vascular durante la cirugía de sarcomas para la preservación de extremidades: serie de casos y algoritmo de manejo. Rev. Españ. Cir. Ortop. Y Traum. 2012. Vol. 57 (1): 21-26.
15. Cebrián JL. García C. Molina M. Moro E. Marco F. sarcomas óseos distales a la rodilla. Rev. Esp. Cir. Ort. y Traum. 2002; 46 (1) 1-16
