Diagnosis and management of soft tissue sarcoma by Murray F. Brennan

By Murray F. Brennan

Management of sentimental Tissue Sarcoma addresses the prognosis and top present administration of grownup tender tissue sarcomas. Edited by means of international well known specialists, this ebook delineates and discusses each one diversified sarcoma subtype separately. either scientific and molecular diagnoses are addressed, and tumor histopathology is hired because the foundation of remedy innovations together with surgical procedure, radiation treatment, systemic treatment and novel therapeutics.

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Fibrosarcoma These lesions are most commonly seen in persons aged 30–55 years, but may occur in patients of any age. The tumors have no characteristic clinical findings. Pathologically, they consist of elongated fibroblast-like cells arranged in a uniform, fasciculated growth pattern. Intersection or interlacing of the fascicles often yields a ‘herringbone’ pattern on light microscopy. Well-differentiated fibrosarcomas are rich in mature collagen. Fibrohistiocytic tumors These tumors were originally thought to arise from histiocytes that had fibroblastic features, and the term fibrohistiocytic is merely descriptive of their appearance.

Although the well-established lesions of Kaposi’s sarcoma are neoplastic, the course for patients is greatly influenced by their immune status. Another form of Kaposi’s sarcoma occurs in black men in Africa; it may also occur in African children, in whom it runs a more aggressive course. The geographic distribution in Africa is very similar to that of Pathologic classification Burkitt’s lymphoma, which is associated with Epstein–Barr virus. Epidemic Kaposi’s sarcoma is a complication of HIV infection.

These tumors occur in any location; about one-half of the patients will have lymph node lesions, and about one-third develop gastrointestinal as well as skin lesions. The overall mortality rate of patients with Kaposi’s sarcoma is about 40%. A significant proportion of these patients die from co-morbid opportunistic infection. The treatment is often difficult. Operation is indicated for diagnosis. It has little application in treatment. Because this disease is often multifocal, radiation and chemotherapy are both often preferred.

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