PMID: 9165454May 1, 1997Paper

Soft tissue sarcoma of the hand in children: clinical outcome and management

Journal of Pediatric Surgery
E GrossC B Pratt

Abstract

Soft tissue sarcomas (STS) of the hand are rare in children and adolescents. From 1965 through 1995, 18 children with STS of the hand were treated at our institution. Rhabdomyosarcoma (RMS) was diagnosed in 11 patients; alveolar histological results predominated (7 of 11 cases). Seven patients presented with metastatic disease and died 4 to 23 months (median, 9 months) from diagnosis; their surgical treatment comprised above-elbow amputation (n = 1), local excision (n = 1), and biopsy (n = 5). For the four patients who presented with localized RMS, surgery consisted of wide local excision (n = 1), local excision (n = 2), or ray amputation (n = 1). With an average follow-up of 5.5 years (range, 4 months to 18 years), 3 of the 11 patients diagnosed with RMS still survive (27%). The remaining seven patients presented with nonrhabdomyosarcomatous soft tissue sarcoma (NRSTS); the most common histological variants were epithelioid and malignant fibrous histiocytoma (two cases each). Surgical treatment for these patients comprised ray amputation (n = 3), wide local excision (n = 3), excisional biopsy (n = 1), and regional lymph node dissection (n = 3). One patient received adjuvant multiagent chemotherapy; three patients received supp...Continue Reading

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Citations

Feb 16, 1999·Seminars in Surgical Oncology·A S PappoT E Lobe
Dec 18, 2001·Medical and Pediatric Oncology·R MilanovicA Pajić
Sep 1, 2007·Journal of Children's Orthopaedics·Michela CasanovaAndrea Ferrari
May 11, 2005·European Journal of Radiology·R Mauricio JimenezSusan A Connolly
Jul 28, 2004·Hand Clinics·Peter M Murray
Dec 8, 2000·Neurologia Medico-chirurgica·H TsurushimaY Yoshii
Aug 6, 2009·Clinical Orthopaedics and Related Research·Mark Edward PuhaindranEdward A Athanasian
Jul 7, 2009·Pediatric Hematology and Oncology·Michela CasanovaAndrea Ferrari
Sep 24, 2004·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Dylan V MillerHolly Zhou
Jan 18, 2021·Journal of Medical Case Reports·Serenella SerinelliDaniel J Zaccarini

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