Functional and oncological outcomes after limb-salvage surgery for primary sarcomas of the upper limb

Soft tissue sarcoma – A review of presentation, management and outcomes in 110 patients

“…The functional benefits of limb-salvage procedures for sarcomas have been well documented 4 and more recently studies have shown a statistically significant improvement in functional outcome in limb salvage compared with ablative surgery for upper extremity sarcoma too. 20 It has been our practice to perform limb preserving surgery where possible and where this approach is not deemed to compromise treatment of the primary tumour. This approach often resulted in excision of significant muscle mass in some patients and restoration of limb function was thus a consideration in the reconstructive choice.…”

Functional and Oncological Outcome Following Marginal Excision of Well-Differentiated Forearm Liposarcoma With Nerve Involvement

“…This can be compared to the TESS scores in all upper limb sarcomas. 14 Magnetic resonance imaging is known to be accurate in differentiating among benign lipomas, low-grade liposarcomas, and higher-grade disease. 6 -10 It is, therefore, common practice in sarcoma units in our country to use MRI for preoperative diagnosis, avoiding the need for preoperative biopsy and the potential for sampling errors and misdiagnosis.…”

“…12 Limb-sparing surgery, consisting of wide excision and adjuvant therapy, is the primary treatment strategy for the majority of extremity sarcomas. [13][14][15] However, tumor resection with wide margin can severely compromise limb function, particularly if nerves and vessels are removed. 16 Somerville et al 17 published the oncological results of marginal excision for well-differentiated, lipoma-like liposarcoma in the upper and lower limbs and reported no metastasis or death due to tumor, with an 8% local recurrence rate.…”

Microvascular reconstructions after extensive soft tissue sarcoma resections in the upper limb

“…A variety of scoring systems have been used for functional evaluation after upper extremity tumour surgery [25,26]. Limb salvage and microvascular reconstruction did not adversely affect functional outcome in a previous study after upper extremity STS resection [27].…”