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Vascular reconstruction with prosthetic graft in treatment of extremities soft tissue sarcoma: A case report and literature review
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Abstract
Background: Limp-sparing procedures are currently considered the standard treatment for extremities soft tissue sarcoma. Surgical excision combine with vascular resection and reconstruction is necessary to provide an adequate margin and preseve limb when tumour invase major vessel.
Methods: A retrospective description of a vascula invasive lower extremity sarcoma. Clinical features, laboratory findings, management and result were discussed with brief review of literature.
Case presentation: A female patient, 55 years old, was diagnosed with right thigh leiomyosarcoma T4N0M0 by open biopsy. Patient was managed with neoadjuvant radiotherapy follow by wide margin resection combine with superficial femoral vessel excision and reconstruction by prosthetic graft. The patient recovered well with no complication and was discharged 15 days after surgery.
Conclusion: Vascular reconstruction with prosthetic graft is fesiable option in limb salvage surgery for vascula invasive soft tissue sarcomas of the extrimities.
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Keywords
soft tissue sarcoma, vascular reconstruction, prosthetic graft, limb-sparing surgery
References
2. Davis LA, Dandachli F, Turcotte R, Steinmetz OK. Limb-sparing surgery with vascular reconstruction for malignant lower extremity soft tissue sarcoma. Journal of Vascular Surgery. 2017 Jan 1;65(1):151–6.
3. Tsukushi S, Nishida Y, Sugiura H, Nakashima H, Ishiguro N. Results of limb-salvage surgery with vascular reconstruction for soft tissue sarcoma in the lower extremity: comparison between only arterial and arterovenous reconstruction. J Surg Oncol. 2008 Mar 1;97(3):216–20.
4. Đoàn Trọng Tú, Nguyễn Đại Bình. Kết quả sống 5 năm và một số yếu tố tiên lượng ở bệnh nhân được điều trị bảo tồn ung thư phần mềm chi. Tạp chí Y học Việt Nam. 2019;số 1 tháng 11:26–30.
5. Nishinari K, Krutman M, Aguiar Junior S, Pignataro BS, Yazbek G, Zottele Bomfim GA, et al. Surgical outcomes of vascular reconstruction in soft tissue sarcomas of the lower extremities. J Vasc Surg. 2015 Jul;62(1):143–9.
6. Leggon RE, Huber TS, Scarborough MT. Limb salvage surgery with vascular reconstruction. Clin Orthop Relat Res. 2001 Jun;(387):207–16.
7. Emori M, Hamada K, Omori S, Joyama S, Tomita Y, Hashimoto N, et al. Surgery with vascular reconstruction for soft-tissue sarcomas in the inguinal region: oncologic and functional outcomes. Ann Vasc Surg. 2012 Jul;26(5):693–9.