Document Detail


Sarcomas in the groin and inguinal canal--often missed and difficult to manage.
MedLine Citation:
PMID:  20501018     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: This is a 7-year retrospective review summarising the North of England Bone and Soft Tissue Tumour Service's experience of managing 13 cases of groin sarcoma requiring soft tissue flap reconstruction. This study was performed to try to identify where national referral guidelines in sarcoma management had been followed and reasons for any delays. The study also includes outcome data relating to these patients.
PATIENTS AND METHODS: A retrospective, case-note review was undertaken using the local sarcoma database to identify appropriate patients.
RESULTS: In nine patients, national referral guidelines were not followed. This resulted in a mean delay of presentation to the multidisciplinary team of 4.4 months. Ten patients had unplanned excision or exploration of tumours before referral. There were no lower limb amputations. All patients with narrow margins or high grade tumours were referred for radiotherapy. Four patients died; three as a result of distant metastases and one as a result of local recurrence.
CONCLUSIONS: Despite delays in referral, treatment by wide excision and plastic surgical reconstruction allowed for local control of these tumours with functional limb salvage. Implementation of National Institute for Health and Clinical Excellence (NICE) guidelines and local strategies could improve the expedient management of these patients.
Authors:
T Collin; A V Blackburn; R H Milner; C Gerrand; M Ragbir
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  92     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-06-16     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  326-9     Citation Subset:  IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK. tomcollin72@googlemail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Female
Groin / surgery*
Guideline Adherence / statistics & numerical data
Humans
Inguinal Canal / surgery*
Male
Middle Aged
Practice Guidelines as Topic
Reconstructive Surgical Procedures / methods
Referral and Consultation / standards
Retrospective Studies
Sarcoma / diagnosis,  pathology,  surgery*
Soft Tissue Neoplasms / diagnosis,  pathology,  surgery*
Surgical Flaps
Treatment Outcome
Young Adult
Comments/Corrections

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