Diagnostic strategy for adult soft tissue sarcomas
Accurate histological diagnosis, coupled with a detailed knowledge of the local extent of the tumour along with it’s spread to more distant parts, is essential for the efficient overall management of soft tissue sarcomas. Whilst other methods of treatment are available for temporary control of these tumours, surgery remains the most effective method. The local extent of the tumour must be accurately determined. Imaging techniques are important in this respect and must be used before histological biopsy. Their results, in addition to being more accurate and less prone to misinterpretation before biopsy, may indicate other essential investigations which are necessary before definitive biopsy is undertaken. This chapter will detail a diagnostic strategy for the evaluation behaviour of the tumour and will include a medical history and physical examination, scintigraphy, conventional and computered imaging, arteriorgraphy and surgical biopsy.
KeywordsDefinitive Surgery Biopsy Incision Freeze Section Analysis Regional Lymph Node Involvement Local Extent
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- 2.Rosenberg S. A., Suit H. D., Baker L. H. and Rosen G.: Sarcomas of the soft tissue and bone. In: Cancer (de Vita V. T., Hellman S. and Rosenberg S. A., eds) p. 1036, Lippincott, Philadelphia, 1982.Google Scholar
- 6.De Santos L. A., Goldstein H. M., Murray J. A. and Wallace S.: Computed tomography in the evaluation of musculoskeletal neoplasm. Radiology 128: 89–94, 1978.Google Scholar