Cancer arising in the Mesenchymal tissue (Connective Tissue), known as Sarcoma. And the sarcoma arising in the soft tissue called Soft Tissue Sarcoma (STS).
So, it can arise from the following tissue
Location: It can arise anywhere in the body. The most common location is the extremity in which the thigh is the most common site. The retroperitoneal area is the 2nd most common site.
Age: Age is no bar for sarcomas, some sarcoma can happen at a young age and even in children.
Risk Factors: Most of the patients don’t have any risk factors, while some risk factors are:
Can Soft Tissue Sarcoma spread?
Yes. It can spread to the Lungs, Lymph nodes and vital organs.
Correct diagnosis is the most important part of management. As there about 50 types of histologically different types of STS. The prognosis and management plan depends on the histology.
A biopsy will be done to diagnose correct histology. Biopsy should always be done by Sarcoma Specialist Surgeon. The wrong Biopsy may lead to the spread of cancer.
Evaluation at a cancer centre that treats a large number of sarcoma patients and has a specialized sarcoma management team improves chances of correct diagnosis and treatment and reduces chances of relapse.
Once the diagnosis is confirmed, staging workup will be done to rule out spread to other organs, in the form of CT chest, USG of draining lymph node or PET-CT.
A sarcoma specialist will tell you different treatment options. These Options were advised depending on the various factors like stage, grade, and histology. Having appropriate knowledge about them will help you make the right decision.
Outcome of Sarcoma
The outcome of the treatment depends on several factors like stage of cancer, grade of tumour, size, location, adequacy of previous surgery, Biopsy scar and place whether treatment is taken by sarcoma specialist or not.
This article is authored by Dr. Lokesh Garg, Consultant – Orthopaedics (Musculoskeletal / Orthopaedic Oncology), Dharamshila Narayana Superspeciality Hospital, Delhi
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