Rawalpindi Medical University, Rawalpindi, Pakistan (https://rmur.edu.pk/)
Abstract
Background: To study the management patternof soft tissue sarcomas in a tertiary care settingMethods: In this descriptive study patients whowere operated for soft tissue masses were included.Intra-operative findings, procedure details andpostoperative orders were recorded. Postoperativechemo-radiotherapy records were reviewed andrecorded. Depth of the tumour was grouped asdeeper or superficial than 5 cm. The follow uprecords were accessed from the outpatientdepartment and any surgical complications wererecorded up to three years.Staging was done usingclinical and radiological criteria taking into accountthe histological grade,tumour size , depth, locallymph node invasion and metastasis.Surgicalprocedure for removal of STS are wide local excision(WLE), intralesional excision (IE) or tumordebulking, marginal excision (ME) and radicalexcision (RE).Results: Sixty eight patients with mean age of 43.0± 17.258 SD were diagnosed as cases of soft tissuesarcomas. Male to female ratio was 3.25:1.The mostcommon histopathological variety was malignantfibrous histiocytoma (35.3%) , followed byRhabdomyosarcoma(30%). Most common involvedsite was lower limbs (35.3%).Wide local excision wasperformed in majority (82.4%) . Most commonpostop complication was wound infection (10.3%)Conclusion: Clinicians must be agile about thenature of these tumours and their referral to aspecialist surgeon for further management. Promptdiagnosis, accurate investigations and earlyintervention will benefit the patients and help usunderstand this disease entity
