Characteristics of 64 sarcoma patients referred to a sarcoma center after unplanned excision

Journal of Surgical Oncology
Heidi B DyropJohnny Keller

Abstract

Unplanned excision of sarcoma before referral to specialist centers can affect prognosis and surgical outcome. The diagnostic pathway of these patients is uncertain and needs to be reviewed. We aimed to describe patient and tumor characteristics, initial symptoms, initial and final diagnosis, and explore reasons for unplanned excision in this patient group. From a previous study on 258 sarcoma patients, we identified 64 patients referred after surgery. Medical records were reviewed. The majority were soft tissue sarcomas, most often with thoracic location. Leiomyosarcoma was the most frequent final diagnosis, lipoma, and fibroma/dermatofibroma the most frequent initial diagnoses. Fifty percent were superficial small tumors, and 60.9% had not received diagnostic imaging before surgery. Fifty percent were referred from public surgical departments, and 1/3 from private specialists. Twenty-three patients had initial presence of alarm symptoms registered before surgery, the remaining 2/3 fell outside referral criteria or alarm symptoms were not discovered. Patients referred after unplanned excision often have small superficial tumors and the majority fall outside of defined referral criteria. Referral criteria are not a guarantee fo...Continue Reading

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Citations

Jan 22, 2017·Annals of Surgical Oncology·Maria Anna SmolleAndreas Leithner
Feb 29, 2020·The British Journal of Radiology·Michael KhooAsif Saifuddin
Aug 31, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Bülent Erol, Özgür Baysal
Feb 10, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Tomoki NakamuraAkihiro Sudo
Feb 16, 2019·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Floriane De AngelisSylvain Causeret

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