How should soft tissue tumor be treated?

summary

How should soft tissue tumor be treated? There are many kinds of soft tissue tumors with mixed names, especially the pathomorphology of soft tissue malignant tumors. With the continuous improvement of understanding, the pathological names of soft tissue malignant tumors are often changed, which makes the clinical workers feel much more difficult than other malignant tumors in the process of treatment. Recently, there have been new changes in the pathological classification of soft tissue tumors. Some tumors have been renamed, such as synovial sarcoma to giant cell tumor of tendon sheath, which is not found in any other tumors.

How should soft tissue tumor be treated?

Radical surgery: all tumors must be removed together with surrounding normal tissues. In order to ensure complete resection, some normal tissue structures must be removed. Surgical resection should also include biopsy sites, skin and some muscles nearby. For muscle tumors, the affected muscles should be completely removed. Lymph node dissection was performed only when the clinical manifestation of lymph node involvement was demonstrated.

Volume reduction surgery: it is a method used for some soft tissue tumors that cannot be completely removed, followed by other non-surgical treatment after surgery, in order to improve the quality of life and prolong the life of patients. Such as malignant retroperitoneal giant liposarcoma, we can first reduce the volume of surgery, followed by adjuvant radiotherapy, can achieve good results.

Amputation: it is suitable for advanced huge tumor with ulcer and bleeding, but can not stop bleeding; Or accompanied by severe infection, such as sepsis, tetanus, endangering the safety of patients; Or the tumor grows rapidly and causes severe pain, which is difficult to control with drugs; Amputation can be considered first when the limb has pathological fracture, loss of activity and other serious conditions, which can not be saved by other methods.

matters needing attention

Postoperative chemotherapy: surgery plus chemotherapy, has been widely used in clinical treatment of various malignant tumors. In the treatment of highly malignant soft tissue sarcoma, it should be started in a short time after operation, which may reduce distant metastasis and improve survival rate. If the time interval is too long, it will not work. The author thinks that chemotherapy is better than no chemotherapy, early use is better than late use, and preventive use is better than therapeutic use. The general treatment time was one year in stage Ⅰ and Ⅱ a, and two years in stage Ⅱ b-Ⅲ.