Soft-tissue sarcoma in adults: An update on the current state of histiotype-specific management in an era of personalized medicine

被引:416
作者
Gamboa, Adriana C. [1 ]
Gronchi, Alessandro [2 ]
Cardona, Kenneth [3 ]
机构
[1] Emory Univ, Sch Med, Dept Surg, Div Surg Oncol, Atlanta, GA 30322 USA
[2] Fdn IRCCS Ist Nazl Tumori, Dept Surg, Milan, Italy
[3] Emory Univ Hosp Midtown, Div Surg Oncol, Winship Canc Inst, 550 Peachtree St NE,Suite 900, Atlanta, GA 30308 USA
关键词
advanced soft-tissue sarcoma; extremity sarcoma; retroperitoneal sarcoma; soft-tissue sarcoma; DESMOID-TYPE FIBROMATOSIS; RANDOMIZED PHASE-II; METASTATIC UTERINE LEIOMYOSARCOMA; MODULATED RADIATION-THERAPY; ISOLATED LIMB PERFUSION; LONG-TERM SURVIVAL; PROGNOSTIC-FACTORS; RETROPERITONEAL SARCOMA; NEOADJUVANT CHEMOTHERAPY; LOCAL RECURRENCE;
D O I
10.3322/caac.21605
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Soft-tissue sarcomas (STS) are rare tumors that account for 1% of all adult malignancies, with over 100 different histologic subtypes occurring predominately in the trunk, extremity, and retroperitoneum. This low incidence is further complicated by their variable presentation, behavior, and long-term outcomes, which emphasize the importance of centralized care in specialized centers with a multidisciplinary team approach. In the last decade, there has been an effort to improve the quality of care for patients with STS based on anatomic site and histology, and multiple ongoing clinical trials are focusing on tailoring therapy to histologic subtype. This report summarizes the latest evidence guiding the histiotype-specific management of extremity/truncal and retroperitoneal STS with regard to surgery, radiation, and chemotherapy.
引用
收藏
页码:200 / 229
页数:30
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