Limb preserving surgery for soft-tissue sarcoma in the hand : a retrospective study of 51 cases

GND
1078876452
ORCID
0000-0003-1283-2982
Affiliation
Department of Plastic Surgery and Hand Surgery, BG University Hospital Bergmannsheil, Bochum, Germany
Dadras, Mehran;
GND
1028572085
Affiliation
Universitätsklinikum Essen
Steinau, Hans-Ulrich;
GND
131776827
Affiliation
Department of Plastic Surgery and Hand Surgery, BG University Hospital Bergmannsheil, Bochum, Germany
Goertz, Ole;
GND
122395794
Affiliation
Department of Plastic Surgery and Hand Surgery, BG University Hospital Bergmannsheil, Bochum, Germany
Lehnhardt, Marcus;
GND
132029731
ORCID
0000-0002-3480-6956
Affiliation
Department of Plastic Surgery and Hand Surgery, BG University Hospital Bergmannsheil, Bochum, Germany
Behr, Björn;
GND
103574452X
Affiliation
Department of Plastic Surgery and Hand Surgery, BG University Hospital Bergmannsheil, Bochum, Germany
Harati, Kamran

Our retrospective study analysed the long-term results of a conservative limb-preserving surgical strategy in 51 patients with soft-tissue sarcoma of the hand from a single institution. We assessed survival and prognostic factors, including the surgical margins. No transradial amputations were performed. Microscopically free resection margins were obtained in 45 of the patients. The remaining six patients had microscopically incomplete resection. Forty-four surviving patients had a median follow-up of 6.5 years (range 12–307), and one patient had no follow-up beyond 3 months following surgery. Among those patients, 29 had more than 5 years of follow-up. Five-year local-recurrence-free survival was 65%, metastasis-free survival was 84%, and disease-specific survival was 91%. Tumour size was predictive of all outcome parameters, but positive resection margins adversely affected local recurrence only. Survival was similar to the survival after a more radical surgical approach reported in the literature. Level of evidence: IV

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