Skip to main content

Preoperative chemotherapy for soft tissue sarcomas of the extremities: The experience at the University of California, Los Angeles

  • Chapter
Multidisciplinary Treatment of Soft Tissue Sarcomas

Part of the book series: Cancer Treatment and Research ((CTAR,volume 67))

Abstract

The traditional approach to extremity sarcomas was surgical excision. This was associated with a local failure rate of approximately 95% [1], as tumors were simply ‘shelled out’ of their pseudocapsule. More radical muscle group and compartment excisions were then performed that reduced the local failure to approximately 40% [2]. Even with amputation, local failure was approximately 35%. Without effective additional therapy to control microscopic residual disease, radical surgery alone resulted in both poor functional results and high recurrence rates.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bowden L, Booher RJ: The principles and techniques of resection of soft parts for sarcoma. Surgery 44:963–967, 1958.

    PubMed  CAS  Google Scholar 

  2. Shiu MH, Castrol EB, Hadju SI, Fortner JG: Surgical treatment of 297 soft tissue sarcomas of the lower extremity. Ann Surg 182:597–602, 1975.

    Article  PubMed  CAS  Google Scholar 

  3. Gottlieb JA, Baker LH, O’Bryan RM, et al.: Adriamycin used alone and in combination for soft tissue and bony sarcomas. Cancer Chemother Rep, Part 3 6:371–282, 1975.

    Google Scholar 

  4. Antman KH, Elias AD: Chemotherapy of advanced soft-tissue sarcomas. Semin Surg Oncol 4:53–58, 1988.

    Article  PubMed  CAS  Google Scholar 

  5. Bramwell VHC, Mouridsen HT, Santoro A, et al.: Cyclophosphamide versus ifosfamide: Final report of a randomized phase II trail in adult soft tissue sarcomas. Eur J Cancer Clin Oncol 23:311–321, 1987.

    Article  PubMed  CAS  Google Scholar 

  6. Samson MK, Baker LH, Benjamin RS, Lane M, Plager C: cis-Dichlorodiammineplatinum(II) in advanced soft tissue and bony sarcomas: A Southwest Oncology Group study. Cancer Treat Rep 63:2027–2029, 1979.

    PubMed  CAS  Google Scholar 

  7. Karakousis CP, Holtermann OA, Holyoke ED: cis-Dichlorodiammineplatinum(II) in metastatic soft tissue sarcomas. Cancer Treat Rep 63:2071–2075, 1979.

    PubMed  CAS  Google Scholar 

  8. Omura GA, Major FJ, Blessing JA, et al.: A randomized study of adriamycin with and without dimethyl trazenoimidazole carboxamide in advanced uterine sarcomas. Cancer 52:626–632, 1983.

    Article  PubMed  CAS  Google Scholar 

  9. Lerner H, Amato D, Stevens C, Borden E, Enterline H: Leiomyosarcoma: The Eastern Cooperative Oncology group experience with 222 patients. Proc Am Assoc Cancer Res 24:142, 1983.

    Google Scholar 

  10. Elias A, Ryan L, Sulkes A, et al.: Response to mesna, doxrubicin, ifosfamide, and dacarbazine in 108 patients with metastatic or unresectable sarcoma and no prior chemotherapy. J Clin Oncol 7:1208, 1989.

    PubMed  CAS  Google Scholar 

  11. Pezzi CM, Pollock RE, Evans HL, et al.: Preoperative chemotherapy for soft tissue sarcoma of the extremities. Ann Surg 211:476–481, 1990.

    Article  PubMed  CAS  Google Scholar 

  12. Santoro A, Rouesse J, Steward W, et al.: A randomized EORTC study in advanced soft tissue sarcomas (STS): ADM vs. ADM + IFX vs. CYVADIC. Proc Am Soc Clin Oncol 9:309, 1990.

    Google Scholar 

  13. Santoro A, Bonadonna G: Soft tissue and bone sarcomas. In: Pinedo HM, Longo DL, Chabner BA, eds. Cancer Chemotherapy and Biological Response Modifiers Annual 12. New York: Elsevier, 1991.

    Google Scholar 

  14. Huth J, Eilber FR: Patterns of metastatic spread following resection of extremity soft tissue sarcomas and strategies for treatment. Semin Surg Oncol 4:20–26, 1988.

    Article  PubMed  CAS  Google Scholar 

  15. Rosen G, Caparros B, Huvos AG, et al.: Preoperative chemotherapy for osteogenic sarcoma: Selection of postoperative adjuvant chemotherapy based on the response of the primary tumor to preoperative chemotherapy. Cancer 49:1221–1230, 1982.

    Article  PubMed  CAS  Google Scholar 

  16. Huth JF, Mirra JJ, Eilber FR: Assessment of in vivo response to preoperative chemotherapy and radiation therapy as a predictor of survival in patients with soft tissue sarcoma. Am J Clin Oncol 8:497–503, 1985.

    Article  PubMed  CAS  Google Scholar 

  17. Haskell CM, Silverstein MJ, Rangel DM, Hunt JS, Sparks FC, Morton DL: Multimodality cancer therapy in man: A pilot study of adriamycin by arterial infusion. Cancer 33:1485–1490, 1974.

    Article  Google Scholar 

  18. Eilber FR, Townsend CM, Weisenberger TH, et al.: A clinicopathologic study: Preoperative intraarterial adriamycin and radiation therapy for extremity soft tissue sarcomas. In: Management of Primary Soft Tissue Tumors: Proceedings of the Annual Clinical Conference on Cancer, MD Anderson Hospital. Chicago: Year Book Medical, 1977, pp 411–422.

    Google Scholar 

  19. Morton DL, Eilber FR, Townsend CM, Grant TT, Mirra J, Weisenburger TH: Limb salvage from a multidisciplinary treatment approach for skeletal and soft tissue sarcomas of the extremity. Ann Surg 184:268–278, 1976.

    Article  PubMed  CAS  Google Scholar 

  20. Eilber FR, Guiliano AE, Huth J, Mirra J, Morton DL: Limb salvage for high grade soft tissue sarcomas of the extremity: Experience at the University of California, Los Angeles. Cancer Treat Symp 3:49–57, 1985.

    Google Scholar 

  21. Eilber FR, Mirra J, Eckardt J, Kern D: Intraarterial adriamycin, radiation therapy and surgical excision for extremity skeletal and soft tissue sarcomas. Dev Oncol 26:141–152, 1984.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer Science+Business Media New York

About this chapter

Cite this chapter

Engel, C.J., Eilber, F.R., Rosen, G., Selch, M.T., Fu, YS. (1993). Preoperative chemotherapy for soft tissue sarcomas of the extremities: The experience at the University of California, Los Angeles. In: Verweij, J., Pinedo, H.M., Suit, H.D. (eds) Multidisciplinary Treatment of Soft Tissue Sarcomas. Cancer Treatment and Research, vol 67. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3082-4_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-3082-4_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6346-0

  • Online ISBN: 978-1-4615-3082-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics