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Soft Tissue Sarcoma of Extremities and Trunk
Julia R. Crim, MD
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7

OVERVIEW

  • General Comments

    • Classification

      PATHOLOGY

      • Routes of Spread

        • General Features

          • Gross Pathology & Surgical Features

            • Microscopic Features

              IMAGING FINDINGS

              • Detection

                • Staging

                  • Restaging

                    CLINICAL ISSUES

                    • Presentation

                      • Cancer History

                        • Treatment Options

                          REPORTING CHECKLIST

                          • T Staging

                            • N Staging

                              • M Staging

                                • Biopsies

                                  • Include in radiology report additional data beyond staging

                                    Selected References

                                    1. Crombé A et al: MRI assessment of surrounding tissues in soft-tissue sarcoma during neoadjuvant chemotherapy can help predicting response and prognosis. Eur J Radiol. 109:178-87, 2018
                                    2. Ezuddin NS et al: Local recurrence of soft-tissue sarcoma: issues in imaging surveillance strategy. Skeletal Radiol. 47(12):1595-1606, 2018
                                    3. Amin MB et al: AJCC Cancer Staging Manual. 8th Ed. Springer New York, 2017
                                    4. Zhao F et al: Can MR imaging be used to predict tumor grade in soft-tissue sarcoma? Radiology. 272(1):192-201, 2014
                                    5. Bestic JM et al: Pediatric FDG PET/CT: physiologic uptake, normal variants, and benign conditions [corrected]. Radiographics. 29(5):1487-500, 2009
                                    6. Garner HW et al: Benign and malignant soft-tissue tumors: posttreatment MR imaging. Radiographics. 29(1):119-34, 2009
                                    7. Moore LF et al: Radiation-induced pseudotumor following therapy for soft tissue sarcoma. Skeletal Radiol. 38(6):579-84, 2009
                                    8. Shapeero LG et al: Post-treatment complications of soft tissue tumours. Eur J Radiol. 69(2):209-21, 2009
                                    9. Stacchiotti S et al: High-grade soft-tissue sarcomas: tumor response assessment--pilot study to assess the correlation between radiologic and pathologic response by using RECIST and Choi criteria. Radiology. 251(2):447-56, 2009
                                    10. Eary JF et al: Spatial heterogeneity in sarcoma 18F-FDG uptake as a predictor of patient outcome. J Nucl Med. 49(12):1973-9, 2008
                                    11. Hueman MT et al: Management of extremity soft tissue sarcomas. Surg Clin North Am. 88(3):539-57, vi, 2008
                                    12. Kaushal A et al: The role of radiation therapy in the management of sarcomas. Surg Clin North Am. 88(3):629-46, viii, 2008
                                    13. Loeb DM et al: Pediatric soft tissue sarcomas. Surg Clin North Am. 88(3):615-27, vii, 2008
                                    14. Park K et al: The role of radiology in paediatric soft tissue sarcomas. Cancer Imaging. 8:102-15, 2008
                                    15. Toner GC et al: PET for sarcomas other than gastrointestinal stromal tumors. Oncologist. 13 Suppl 2:22-6, 2008
                                    16. van de Luijtgaarden AC et al: Promises and challenges of positron emission tomography for assessment of sarcoma in daily clinical practice. Cancer Imaging. 8 Suppl A:S61-8, 2008
                                    17. Peterson JJ: F-18 FDG-PET for detection of osseous metastatic disease and staging, restaging, and monitoring response to therapy of musculoskeletal tumors. Semin Musculoskelet Radiol. 11(3):246-60, 2007
                                    18. Skubitz KM et al: Sarcoma. Mayo Clin Proc. 82(11):1409-32, 2007
                                    19. Tzeng CW et al: Soft tissue sarcoma: preoperative and postoperative imaging for staging. Surg Oncol Clin N Am. 16(2):389-402, 2007
                                    20. Enneking WF et al: A system for the surgical staging of musculoskeletal sarcoma. 1980. Clin Orthop Relat Res. (415):4-18, 2003
                                    21. Fletcher CDM et al: World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. Lyon: IARC Press, 2002
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    OVERVIEW

                                    • General Comments

                                      • Classification

                                        PATHOLOGY

                                        • Routes of Spread

                                          • General Features

                                            • Gross Pathology & Surgical Features

                                              • Microscopic Features

                                                IMAGING FINDINGS

                                                • Detection

                                                  • Staging

                                                    • Restaging

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Cancer History

                                                          • Treatment Options

                                                            REPORTING CHECKLIST

                                                            • T Staging

                                                              • N Staging

                                                                • M Staging

                                                                  • Biopsies

                                                                    • Include in radiology report additional data beyond staging

                                                                      Selected References

                                                                      1. Crombé A et al: MRI assessment of surrounding tissues in soft-tissue sarcoma during neoadjuvant chemotherapy can help predicting response and prognosis. Eur J Radiol. 109:178-87, 2018
                                                                      2. Ezuddin NS et al: Local recurrence of soft-tissue sarcoma: issues in imaging surveillance strategy. Skeletal Radiol. 47(12):1595-1606, 2018
                                                                      3. Amin MB et al: AJCC Cancer Staging Manual. 8th Ed. Springer New York, 2017
                                                                      4. Zhao F et al: Can MR imaging be used to predict tumor grade in soft-tissue sarcoma? Radiology. 272(1):192-201, 2014
                                                                      5. Bestic JM et al: Pediatric FDG PET/CT: physiologic uptake, normal variants, and benign conditions [corrected]. Radiographics. 29(5):1487-500, 2009
                                                                      6. Garner HW et al: Benign and malignant soft-tissue tumors: posttreatment MR imaging. Radiographics. 29(1):119-34, 2009
                                                                      7. Moore LF et al: Radiation-induced pseudotumor following therapy for soft tissue sarcoma. Skeletal Radiol. 38(6):579-84, 2009
                                                                      8. Shapeero LG et al: Post-treatment complications of soft tissue tumours. Eur J Radiol. 69(2):209-21, 2009
                                                                      9. Stacchiotti S et al: High-grade soft-tissue sarcomas: tumor response assessment--pilot study to assess the correlation between radiologic and pathologic response by using RECIST and Choi criteria. Radiology. 251(2):447-56, 2009
                                                                      10. Eary JF et al: Spatial heterogeneity in sarcoma 18F-FDG uptake as a predictor of patient outcome. J Nucl Med. 49(12):1973-9, 2008
                                                                      11. Hueman MT et al: Management of extremity soft tissue sarcomas. Surg Clin North Am. 88(3):539-57, vi, 2008
                                                                      12. Kaushal A et al: The role of radiation therapy in the management of sarcomas. Surg Clin North Am. 88(3):629-46, viii, 2008
                                                                      13. Loeb DM et al: Pediatric soft tissue sarcomas. Surg Clin North Am. 88(3):615-27, vii, 2008
                                                                      14. Park K et al: The role of radiology in paediatric soft tissue sarcomas. Cancer Imaging. 8:102-15, 2008
                                                                      15. Toner GC et al: PET for sarcomas other than gastrointestinal stromal tumors. Oncologist. 13 Suppl 2:22-6, 2008
                                                                      16. van de Luijtgaarden AC et al: Promises and challenges of positron emission tomography for assessment of sarcoma in daily clinical practice. Cancer Imaging. 8 Suppl A:S61-8, 2008
                                                                      17. Peterson JJ: F-18 FDG-PET for detection of osseous metastatic disease and staging, restaging, and monitoring response to therapy of musculoskeletal tumors. Semin Musculoskelet Radiol. 11(3):246-60, 2007
                                                                      18. Skubitz KM et al: Sarcoma. Mayo Clin Proc. 82(11):1409-32, 2007
                                                                      19. Tzeng CW et al: Soft tissue sarcoma: preoperative and postoperative imaging for staging. Surg Oncol Clin N Am. 16(2):389-402, 2007
                                                                      20. Enneking WF et al: A system for the surgical staging of musculoskeletal sarcoma. 1980. Clin Orthop Relat Res. (415):4-18, 2003
                                                                      21. Fletcher CDM et al: World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. Lyon: IARC Press, 2002