Soft-tissue sarcomas of the proximal lower extremity |
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Authors: | C P Karakousis L J Emrich D S Vesper |
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Affiliation: | Department of Surgical Oncology, Roswell Park Memorial Institute, Buffalo, NY 14263. |
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Abstract: | Of 54 patients with soft-tissue sarcomas of the proximal part of the lower extremity, 2 patients (4%) were treated with amputation, while 52 patients (96%) were treated with limb-preserving resection. Adjuvant postoperative irradiation was applied selectively when the minimum margin was less than 2 cm (22 patients). Technical improvements in exposure, resection of involved vessels or nerve, and preservation of function permitted a high rate of limb salvage with satisfactory function. At a median follow-up of 30 months for those subjects still alive, the 5-year disease-free survival rate was 65%, and only 3 patients (6%) had had a local recurrence. |
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