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Annals of Surgical Oncology, Vol 5, Issue 3 238-240, Copyright © 1998 by Society of Surgical Oncology

ARTICLES

Soft tissue sarcomas of the hand and foot: management and survival

C. P. Karakousis, C. De Young and D. L. Driscoll
Millard Fillmore Health System, State University of New York, Buffalo 14209, USA.

BACKGROUND: Soft tissue sarcomas of the hands and feet present a challenge for limb-preserving resections. METHODS: A retrospective review of 19 patients with sarcomas of the hand or foot was done. Wide or local excision was performed in 14 patients (74%), and amputation in 5 patients (26%). Of the latter group, three amputations involved a digit or toe, and two (10%) were major amputations (one Syme amputation and one below-knee amputation). When the minimum surgical margin was narrow (1 to 2 mm), adjuvant radiation was given postoperatively (n = 4). RESULTS: Local recurrence was observed in four patients (21%). Two of these required an amputation for local control. Local recurrence was observed in one of four patients (25%) treated with marginal resection and radiation and three of 15 (20%) of those with resection alone. CONCLUSIONS: A sizable percentage (37%) of patients with soft tissue sarcomas of the hand and foot ultimately required an amputation, although often the amputation was a minor one involving only a toe or a digit. Limb preservation was successful in the majority of patients (63%). The local recurrence rate was 21%, which may be improved with more frequent use of adjuvant therapy. The 5-year survival rate was 82%, which is better than that usually quoted for overall extremity soft tissue sarcomas.


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 J Bone Joint Surg BrHome page
A. Pradhan, Y. C. Cheung, R. J. Grimer, D. Peake, O. A. Al-Muderis, J. M. Thomas, and M. Smith
Soft-tissue sarcomas of the hand: ONCOLOGICAL OUTCOME AND PROGNOSTIC FACTORS
J Bone Joint Surg Br, February 1, 2008; 90-B(2): 209 - 214.
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Copyright © 1998 by the Society of Surgical Oncology.