Abstract
The classic surgical approach to sarcomas of the extremity has been amputation. The obvious goal of tumor surgery is local control, but in many cases this can be achieved by subamputative resection with preservation of the limb. Success depends on complete excision of the primary tumor which has been demonstrated by several clinical studies (Simon and Enneking, 1976). The basic theory guiding en bloc excision is that the gross anatomic setting of the sarcoma and not its histologic type should be the determining factor in the decision between amputation or en bloc excision (Bowden and Booher, 1958). The principles guiding this approach have been best enunciated in several presentations by Enneking (Enneking and Dunham, 1978; Enneking et al, 1981; Simon and Enneking, 1976).
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References
Bowden, L. and Booher, R.J.: The principles and techniques of resection of soft parts for sarcoma. Surgery 44, 963, 1958.
Chuang, V.P., Wallace, S., Benjamin, R.S., Jaffe, N., Ayala, A., Murray, J., Zornoza, J., Patt, Y., Mavligit, G., Charnsangavej, C., and Soo, C-S.: The therapy of osteosarcoma by intraarterial cisplatinum and limb preservation. Cardiovasc. Intervent. Radiol. 4, 229, 1981.
Enneking, W.F. and Dunham, W.K.: Resection and reconstruction for primary neoplasms involving the innominate bone. J. Bone Joint Surg. 60A, 731, 1978.
Enneking, W.F., Spanier, S.S. and Goodman, M.A.: The surgical staging of musculoskeletal sarcoma. J. Bone Joint Surg. 62A, 1027, 1980.
Enneking, W.F., Spanier, S.S. and Malawer, M.M.: The effect of the anatomic settling on the results of surgical procedures for soft parts sarcoma of the thigh. Cancer 47, 1005, 1981.
Rosen, G., Caparros, B., Huvos, A.G., et al: Preoperative chemotherapy for osteogenic sarcoma: Selection of postoperative adiuvant chemotherapy based on the response of the primary tumor to preoperative chemotherapy. Cancer 49, 1221, 1982.
Simon, M.A. and Enneking, W.F.: The management of soft tissue sarcomas of the extremities. J. Bone Joint Surg. 58A, 317, 1976.
Suit, H.D., Russell, W.O. and Martin, R.G.: Management of patients with sarcoma of soft tissue in an extremity. Cancer 31, 1247, 1973.
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© 1984 Springer-Verlag Berlin Heidelberg
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Langer, F. (1984). Principles of En-Bloc Excision of Limb Sarcomas. In: Uhthoff, H.K. (eds) Current Concepts of Diagnosis and Treatment of Bone and Soft Tissue Tumors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69210-9_19
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DOI: https://doi.org/10.1007/978-3-642-69210-9_19
Publisher Name: Springer, Berlin, Heidelberg
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