Reappraisal of surgical management of sarcoma of the buttock

In an anatomic and regional consideration of sarcoma of the buttock involving 71 patients, 52 had operable tumors and 19 were inoperable. Radical buttectomy was done in 36 patients and hemipelvectomy was performed in 16 patients. Seventeen patients in the buttectomy group and 14 in the hemipelvectom...

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Bibliographic Details
Published in:Cancer 1973-01, Vol.31 (1), p.97-104
Main Authors: Wanebo, Harold J., Shah, Jatin, Knapper, William, Hajdu, Steven, Booher, Robert
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Buttocks - pathology
Buttocks - surgery
Child
Child, Preschool
Female
Fibroma - pathology
Fibroma - surgery
Fibrosarcoma - pathology
Fibrosarcoma - surgery
Humans
Infant
Liposarcoma - pathology
Liposarcoma - surgery
Male
Mesenchymoma - pathology
Mesenchymoma - surgery
Methods
Middle Aged
Neoplasm Metastasis
Neoplasm Recurrence, Local - surgery
Retrospective Studies
Rhabdomyosarcoma - pathology
Rhabdomyosarcoma - surgery
Sarcoma - pathology
Sarcoma - surgery
Sarcoma, Synovial - pathology
Sarcoma, Synovial - surgery
Time Factors
Citations: Items that this one cites
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Summary:In an anatomic and regional consideration of sarcoma of the buttock involving 71 patients, 52 had operable tumors and 19 were inoperable. Radical buttectomy was done in 36 patients and hemipelvectomy was performed in 16 patients. Seventeen patients in the buttectomy group and 14 in the hemipelvectomy group were operated on for recurrent sarcoma secondary to local resection done elsewhere. Patients requiring hemipelvectomy had more extensive tumors or had sarcoma deeply invading into bone or sciatic nerve. Survival was significantly prolonged in the buttectomy group with 21 patients living 5 years and 14 patients surviving 10 years. In contrast, only 3 of 16 hemipelvectomy patients survived 5 years and 1 survived 10 years. The rate of local recurrence was higher in the buttectomy group, but the incidence of pulmonary metastases was higher in the hemipelvectomized patients. In both groups, the presence of recurrent sarcoma was the most important factor influencing local recurrence, metastases, and survival after surgery. The high rate of recurrence after local excision necessitating buttectomy or hemipelvectomy suggests that the operation which may finally become necessary in the management of buttock sarcoma is the one which should be done in the initial management of this tumor.
ISSN:0008-543X
1097-0142
DOI:10.1002/1097-0142(197301)31:1<97::AID-CNCR2820310113>3.0.CO;2-5