Excision of soft tissue Sarcoma ( thigh)
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Soft-tissue tumours (STT) are a heterogeneous group of benign and malignant diseases accounting for <4% of all tumours in adults and <8% of all tumours in children. Soft-tissue sarcomas rare malignant tumours derived from mesenchymal cells at all body sites. These rare tumours comprise approximately 1% of all newly diagnosed cancers. The incidence of soft tissue tumours is approximately 2000 cases per annum in the UK.
Patients may present with a painful or painless swelling that is growing insidiously. Almost 50% arise in the lower limbs (most commonly the adductor compartment of the thigh) and the median age for presentation is 65 years. Concern at to the biological activity of a lesion should arise if the size is >5cm, it is painful, deep to fascia, increasing in size, or recurrence of a previously excised lesion. Each of these five characteristics corresponds to an approximately 20% risk of malignancy. Any lesion presenting with features that are suggestive of STT require referral to specialist centres, where appropriate evaluation and staging will take place.
Author: Michael Parry FRCS (Tr & Orth)
Institution: The Royal Orthopaedic Hospital Birmingham ,UK.
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Question 1 of 15
Which one of the following statements correctly describes the incidence of soft tissue sarcomas in the UK?CorrectIncorrect
Question 2 of 15
Which one of the following statements most accurately describes the location of presentation of soft tissue sarcomas?CorrectIncorrect
Question 3 of 15
Which of the following statements should raise concern about malignancy in soft tissue lumps?CorrectIncorrect
Question 4 of 15
Which of the following statements most accurately describes the treatment of STS?CorrectIncorrect
Question 5 of 15
Which of the following statements most accurately reflects the role of radiotherapy for STS?CorrectIncorrect
Question 6 of 15
Which of the following statements most accurately reflects the surgical ownership of patients with a STS?CorrectIncorrect
Question 7 of 15
Which of the following statements most accurately describes the quadriceps group?CorrectIncorrect
Question 8 of 15
Which of the following statements is most accurate about Hunters canal?CorrectIncorrect
Question 9 of 15
How many bursae are there around the knee?CorrectIncorrect
Question 10 of 15
Which one of the following statements most accurately reflects the quality of margin tissue at resection of STS?CorrectIncorrect
Question 11 of 15
Which one of the following statements accurately reflects the complications of surgery?CorrectIncorrect
Question 12 of 15
Which one of the following statements accurately reflects the risk factors for local recurrence?CorrectIncorrect
Question 13 of 15
Which one of the following statements about pre operative radiotherapy is true?CorrectIncorrect
Question 14 of 15
Which one of the following statements regarding local recurrence is most accurate?CorrectIncorrect
Question 15 of 15
Which one of the following statements about prognosis is most accurate?CorrectIncorrect