1. To determine the incidence of soft tissue sarcomas according to the different histologic type and anatomical involvement.
2. To determine the rate of compliance to practice guidelines with regards to the use of pre-op biopsy; use of imaging tests to determine extent of the tumor, primary treatment modality and utilization of adjuvant.
3. To determine the outcome of management in terms of: in-hospital morbidity and mortality, completeness of resection, progression of disease.
STUDY DESIGN: Cross Sectional Study
STUDY SETTING: Jose R. Reyes Memorial Medical Center, January 2000 to November 2004
Chart and histopathologic records review was conducted. Aside from demographic data, management practices including preferred biopsy techniques (or no need for pre-op tissue biopsy), extent of metastatic work-up, surgical technique performed and adjuvant treatments were recorded. Major outcome measured were: in hospital-complications, adequacy of lines of resections, and progression of the disease.
During the five-year period, a total of 43 cases seen (1 recurrence). The most common histologic type was liposarcoma (26%). The trunk was the most commonly affected region (33.3%). Surgery alone was the treatment in 33/43 cases. Incision biopsy was done in 15 cases only. Imaging tests were seldom done and the extent of resection was based mainly on clinical and intraoperative assessment. Two cases had positive line of resection.
Although soft tissue sarcoma is relatively an uncommon malignancy it is important to adhere to certain guidelines regarding its management in order to assure a good outcome.