Soft tissue sarcomas of the extremity are one of the malignant tumors that are very difficult to treat due to the characteristics of the tumors which is early pulmonary metastasis and wide local invasion.
Current trend of the treatment for the soft tissue sarcoma is multimodal therapy includeing chemotherapy, radiotherapy, hyperthermia and surgical excision. With the development of multimodal therpay, the 5 year survival rate is significantly
enhanced
and limb salvage surgery is possible to be used more commonly.
From March 1985 to the March 1990, 44 cases of soft tissue sarcomas of the extremity were treated at the department of orthopaedic surgery, Kosin Medical College and analysed statistically, 18 cases of them have follwed up for longer than 2
years.
7
cases were treted only surgically and the rest 11 cases were treated surgically with chemotherapy, radiation therapy.
@ES The cases were evaluated by recurrence rate end time, survival rate and the results were as follows.
@EN 1. There were 20 males and 24 females. The peak age was fourth and fifth decade.
2. The most common pathologic findings were liposarcoma and fibrosarcoma.
3. The survival rate of the liposarcoma and fibrosarcoma was better than other soft tissue tumors.
4. the overall 2 year survival rate was 72%(13/18) and 5 year survival rate was 47%(7/15). The 2 year survival rate for patients with surgery only was 57%(4/7) and for multimodal therapy group was 82%(9/11). The 5 year survival rate of the
patients
group who treated with surgery only was 33%(2/6) and of the multimodal therapy group was 56%(5/9).
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