PDF(Pubmed)
Abstract：
BACKGROUND: Upper limb soft tissue sarcomas are extremely rare and can be misdiagnosed as benign, leading to unplanned excisions. Unplanned excisions and local recurrences pose significant challenges for the subsequent treatment of patients.
METHODS: A patient with a forearm soft tissue sarcoma who underwent unplanned excisions and experienced multiple recurrences. In the most recent treatment, she underwent wide tumor excision combined with thigh free flap transplantation for reconstruction. The reconstruction surgery successfully addressed the extensive soft tissue defect. During the three-year follow-up, there was no tumor recurrence observed, alongside the restoration of upper arm function.
CONCLUSIONS: Challenges and considerations in the treatment of soft tissue sarcomas (STS) are discussed.
CONCLUSIONS: Unplanned excisions and local recurrences of upper limb soft tissue sarcomas present significant challenges for surgery. Patients should be referred to specialized cancer centers for multidisciplinary diagnosis and treatment.
METHODS: A patient with a forearm soft tissue sarcoma who underwent unplanned excisions and experienced multiple recurrences. In the most recent treatment, she underwent wide tumor excision combined with thigh free flap transplantation for reconstruction. The reconstruction surgery successfully addressed the extensive soft tissue defect. During the three-year follow-up, there was no tumor recurrence observed, alongside the restoration of upper arm function.
CONCLUSIONS: Challenges and considerations in the treatment of soft tissue sarcomas (STS) are discussed.
CONCLUSIONS: Unplanned excisions and local recurrences of upper limb soft tissue sarcomas present significant challenges for surgery. Patients should be referred to specialized cancer centers for multidisciplinary diagnosis and treatment.
摘要：
背景：上肢软组织肉瘤极为罕见，可误诊为良性，导致计划外切除。非计划切除和局部复发对患者的后续治疗提出了重大挑战。
方法：1例前臂软组织肉瘤患者接受非计划切除并多次复发。在最近的治疗中，她接受了广泛的肿瘤切除联合大腿游离皮瓣移植重建。重建手术成功地解决了广泛的软组织缺损。在为期三年的后续行动中，没有观察到肿瘤复发,同时恢复上臂功能。
结论：讨论了软组织肉瘤（STS）治疗中的挑战和考虑因素。
结论：上肢软组织肉瘤的非计划切除和局部复发对手术提出了重大挑战。患者应转诊到专门的癌症中心进行多学科诊断和治疗。
方法：1例前臂软组织肉瘤患者接受非计划切除并多次复发。在最近的治疗中，她接受了广泛的肿瘤切除联合大腿游离皮瓣移植重建。重建手术成功地解决了广泛的软组织缺损。在为期三年的后续行动中，没有观察到肿瘤复发,同时恢复上臂功能。
结论：讨论了软组织肉瘤（STS）治疗中的挑战和考虑因素。
结论：上肢软组织肉瘤的非计划切除和局部复发对手术提出了重大挑战。患者应转诊到专门的癌症中心进行多学科诊断和治疗。
