Document Detail

Delay in diagnosis of soft tissue sarcomas.
MedLine Citation:
PMID:  12798748     Owner:  NLM     Status:  MEDLINE    
AIM: We reviewed 100 patients referred with soft tissue sarcoma between May 1999 to determine doctor- and patient-related delay. METHODS: Patient delay is defined as longer than one month from first symptoms till doctor's visit, doctor delay as longer than one month from first visit till definitive diagnosis. Sixty-eight patients had a multifactional delay. RESULTS: Forty-seven patients showed patient delay, with a median patient delay of 4 months, ranging from 2 to 240 months. The main reason for this delay is a painless mass that is mostly ignored. When pain is present, median patient delay is shorter.Twenty-seven patients experienced doctor delay, ranging from 2 to 79 months, with a median of 6 months. The most frequent reason was a misdiagnosis from the outset, on a clinical basis only, or due to a wrong diagnosis on ultrasound. Only two of these 27 patients had a biopsy, showing a benign tumour. High grade tumours are diagnosed earlier, 85% within 6 months. CONCLUSIONS: Delay in diagnosis of soft tissue sarcomas is still a problem requiring better patient and doctor education.
F Brouns; M Stas; I De Wever
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology     Volume:  29     ISSN:  0748-7983     ISO Abbreviation:  Eur J Surg Oncol     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-11     Completed Date:  2003-08-01     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  8504356     Medline TA:  Eur J Surg Oncol     Country:  England    
Other Details:
Languages:  eng     Pagination:  440-5     Citation Subset:  IM    
Department of Surgical Oncology, University Hospital Gasthuisberg, Catholic University Leuven, Leuven, Belgium.
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MeSH Terms
Aged, 80 and over
Child, Preschool
Middle Aged
Retrospective Studies
Sarcoma / diagnosis*
Soft Tissue Neoplasms / diagnosis*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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