دورية أكاديمية

Synovial sarcomas: A single surgeon experience of 130 cases

التفاصيل البيبلوغرافية
العنوان: Synovial sarcomas: A single surgeon experience of 130 cases
المؤلفون: Andreani, Lorenzo, Ipponi, Edoardo, Mani, Olimpia, Bayon, Ginevra, Ruinato, Alfio Damiano, Cosseddu, Fabio, D'Arienzo, Antonio, Capanna, Rodolfo
المصدر: Journal of Surgical Oncology ; volume 126, issue 4, page 793-797 ; ISSN 0022-4790 1096-9098
بيانات النشر: Wiley
سنة النشر: 2022
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Background Synovial sarcoma is a rare malignant tumor that generally requires a multidisciplinary therapeutic approach. In this study we report the experience of a single surgeon, evaluating surgical and oncological outcomes of the cases he treated through his 30 years carrier. Methods We enrolled patients treated surgically between 1988 and 2018. Surgical and medical treatments, as well as surgical and oncological results, were investigated. Results One hundred and thirty cases were included. Surgical resection was carried out achieving wide margins in 90% of the cases. At their latest follow‐up, 76 patients were continuously disease free, 16 were no evidence of disease, and other 16 were alive with disease. Twenty cases were dead of disease and two dead of other causes. Twenty‐five patients (19%) had local recurrence of synovial sarcoma through their postoperative intercourse. Thirty‐seven patients (28%) were diagnosed with at least a metastasis during their follow‐up. The global survival of our population, at each patient's latest follow‐up, was 82%. Cases with tumor size above 5 cm had a significantly higher risk to develop metastasis ( p = 0.002). Conclusions Synovial sarcoma is a threatening disease and represents a challenge for oncological physicians and surgeons. Early diagnosis and multidisciplinary approach are mandatory to limit the spread of synovial sarcomas, maximizing the effectiveness of surgery and the other treatments.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1002/jso.26976
الإتاحة: https://doi.org/10.1002/jso.26976Test
حقوق: http://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.B22BCFAF
قاعدة البيانات: BASE