Liposarcoma surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

The predominant therapy for liposarcoma is surgical resection. Adjunctive chemotherapy and radiation may be required.

Surgery

Surgical resection Proceedure
Intraleisional Curettage, partial tumor removal
Marginal May leave microscopic tumor behind
Wide Remove tumor and surrounding cuff of tissue
Radical Remove entire compartment, includes amputation

Treatment by Stage

  • Treatment by stage involves some basic criteria given below:[2]

Treatment of Stage 1 Sarcoma

Treatment of Stage 2 and Stage 3 Sarcoma

Treatment of Stage 4 Sarcoma

Confined Cancer Spread
For confined cancer spread
Surgery, to remove metastatic lesions with chemotherapy and radiation before and after surgery
Ablation
Observation
Stereotactic Body Radiation Therapy (SBRT)
Embolization
Widespread cancer
For widespread cancer
Palliative chemotherapy
Palliative radiation therapy
Palliative surgery
Stereotactic Body Radiation Therapy (SBRT)
Embolization
Observation if asymptomatic
Ablation
Supportive care

Recurrent Sarcoma in Distant Sites is Treated with the Following Options:

Recurrent Tumor
Cancer spread Treatment options
Tumor in one organ Surgery with chemotherapy/radiation before and after surgery
Confined area
Widespread
   Palliative chemotherapy
   Palliative radiation therapy
   Palliative surgery
   Stereotactic Body Radiation Therapy (SBR)
   Embolization
   Ablation

References

  1. Enneking WF, Spanier SS, Goodman MA (1980). "A system for the surgical staging of musculoskeletal sarcoma". Clin Orthop Relat Res (153): 106–20. PMID [ 7449206 [ Check |pmid= value (help).
  2. "NCCN".

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