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Soft Tissue Sarcomas

Soft tissue sarcomas (STS) are an uncommon type of tumor. They are more likely to develop in the muscles, fat, nerves, and tendons, as well as the deep layers of the skin. If limbs, legs, or the torso have STS, an operation can be quite complicated.. Resection, or removal, is usually the case.

Planning is the most important aspect of the diagnosing process. The precise size, location, and spread of the tumor are determined using imaging techniques such as MRI, CT, and PET scans. Expert consultation with a specialist is necessary at this stage. The higher resolution of the images obtained will give a clear understanding of the tumor’s position among the neighboring structures. This is very important not only for planning but also for diminishing possible complications.

A treatment plan is designed by a specialized team. It includes surgeons, oncologists, radiologists, and pathologists. As to the size, grade, and location of the tumor is mentioned as an important factor to take into account. The health of the patient as a whole and the preferences of the patient are also looked into by the team.

Surgical Goals:

The main purpose of the surgery is the wide local excision. The removal of the tumor along with a healthy tissue margin decreases the possibility of the cancer coming back. The goal is to have a clear margin, which is the indication that there are no cancer cells remaining at the edge of the tissue that was removed. Able professionals guide the extent of the resection in a way that is effective so that oncologic control and functional preservation are in a good balance.

Extremity Sarcomas:

Limb-sparing surgery is preferred to preserve function. The goal is to remove the tumor while maintaining as much of the limb’s functionality as possible.
The surgical approach aims to minimize damage to nerves and blood vessels. Careful planning is essential. Preoperative imaging and meticulous surgical technique contribute to this goal.
In some cases, amputation may be necessary if the tumor involves major structures or clear margins cannot be achieved. This decision is made after careful consideration and discussion with the patient.
Reconstruction, involving skin grafts or muscle transfers, may be required to restore function. This helps to close the surgical defect and improve the limb’s appearance and function.
Nerve or tendon procedures may address functional deficits. These procedures aim to restore movement and sensation lost due to tumor removal.

OTHER SERVICES

BREAST ONCOLOGY HEAD AND NECK ONCOLOGY THORACIC ONCOLOGY GASTROINTESTINAL ONCOLOGY GYNAECOLOGICAL ONCOLOGY UROLOGICAL ONCOLOGY SOFT TISSUE SARCOMA SURGERIES BONE SARCOMAS PAEDIATRIC TUMOUR SURGERIES

Trunk Sarcomas:

These surgeries are complex due to the proximity of vital organs. The location of the tumor dictates the surgical approach and potential risks.
The surgical approach depends on the tumor’s location. Tumors in the chest wall, abdomen, or retroperitoneum require different approaches.
Retroperitoneal sarcomas may require extensive surgery and removal of adjacent organs. This is because these tumors often grow around vital structures.
Chest wall sarcomas may necessitate resection of ribs or lung tissue. This depends on the extent of tumor involvement.
Abdominal wall surgeries require careful planning to prevent hernias. Careful closure of the abdominal wall is crucial to prevent complications.
Reconstruction may involve mesh or flaps to ensure proper healing. This helps to close large defects and provide support to the affected area.

Surgical Details:

Wide Local Excision: Removing the tumor with an appropriate margin of healthy tissue. The margin size depends on the tumor’s grade and location.
Compartmental Resection: Removing an entire muscle group if necessary. This is done when the tumor involves multiple compartments.
Limb Salvage vs. Amputation: Prioritizing limb preservation when possible. Amputation is considered when limb salvage is not feasible.
Reconstruction: Utilizing grafts, flaps, and other techniques to repair the surgical site. This helps to restore form and function.
Margin Checks: Intraoperative analysis to ensure complete tumor removal. Frozen section analysis is used to quickly assess margins. A skilled doctor performs these procedures.
Post-Op Care: Managing pain, promoting wound healing, and providing physical therapy. Rehabilitation is crucial for regaining function.

Additional Treatments:

Radiation or chemotherapy may be used after surgery to reduce the risk of recurrence. The decision is based on tumor characteristics and patient health. Adjuvant therapy is tailored to the individual patient. If you are seeking a specialist, Dr. Dharma can offer consultation.

Outcomes:

Prognosis varies depending on tumor grade, size, and location. Wide excision is a key factor in achieving positive outcomes. Follow-up care is essential. Regular monitoring helps detect any recurrence. Dr. Dharma Kumar K.G. ‘s experience highlights the importance of consistent follow up care.

Extremity and trunk sarcoma surgery requires meticulous planning and execution. A collaborative approach and specialized expertise are vital for optimal patient outcomes. The focus is on achieving oncologic control while preserving function and quality of life.