Sarcomas of the hand: A retrospective series of 26 cases - 12/06/22
, Adeline Cambon-Binder b, Julien Even c, Antoine Babinet d, Philippe Anract d, David Biau d
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Abstract |
Background |
Hand sarcomas frequently suffer from a delayed diagnosis, and the current guidelines for their management are often not followed.
Methods |
The objectives of our study were to determine: (1) the rate of inadequate initial treatments; (2) the rates of mortality, recurrence, and complementary excision in a cohort of patients with a sarcoma of the hand who were treated at our reference center between 2000 and 2015.
Results |
The series comprised 26 patients (mean age 40 years). Of the 20 patients not initially treated at a reference center, 17 had inadequate initial treatment. Of the six patients treated at our center, one had inadequate initial care. Significantly more patients had inadequate initial care outside a reference center (p=0.0045). The cumulative probabilities of recurrence or metastases at 5 years were 15% and 30%, respectively. Survival by cumulative incidence was 71% at 5 years and 56% at 10 years.
Conclusions |
Sarcomas of the hand are a deadly pathology. All diagnostic uncertainty warrants referral of the patient to a reference center.
Level of proof |
IV.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Sarcoma, Hand, Survival, Malignant tumor
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Vol 108 - N° 4
Articolo 102991- Giugno 2022 Ritorno al numero
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