Traitement des sarcomes des parties molles des extrémités et du tronc par chirurgie conservatrice et irradiation postopératoire. ہ propos dʹune série de 96 patients

SummaryAim of study. pective study of a series of 96 patients presenting with soft tissues sarcoma. Homogeneous treatment between 1980–1992 with conservative surgery and post operative irradiation. ts and methods. age of the 96 patients was 58 years. Tumor site was: upper limb 20, lower limb 46, trunk 30. In 35 cases largest diameter of the tumor was 5 cm or less (T1). All patients were M0. The most frequent pathological sub type was: malignant histiocytofibroma 28, liposarcoma 28. A gross complete surgery was performed in 89 cases. Radiotherapy was performed with cobalt or x 18 MV photons. The dose delivered was 50 Gy with a boost of 10 Gy. No adjuvant chemotherapy was given. s. ollow up was 68 months. Local relapse was seen in 19 patients, six were salvaged by surgery, a limb amputation rates were necessary in 4 cases. The 5 and 10 year-overall survival was 70 % and 64 %. There was no severe radiation toxicity requiring surgery. A good function of the limb was preserved in all cases. sion. results are in agreement with those of the literature and justify a conservative approach for these soft tissues sarcomas.