Unusual metastases from extremity soft tissue sarcomas

The most common metastatic route for extremity soft-tissue sarcomas is via the venous system to the lungs. Metastases to other sites such as the brain, liver, and soft tissue distant from the primary tumor are rare. A tumor registry, prospectively kept since 1986, was reviewed for unusual metastatic...

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Published inOrthopedics (Thorofare, N.J.) Vol. 31; no. 5; pp. 439 - e7
Main Authors Ryzewicz, Mark, McLoughlin, Heather A, Freudenberger, Curt, Williams, Allison, Lindeque, Bennie
Format Journal Article
LanguageEnglish
Published United States SLACK INCORPORATED 01.05.2008
Subjects
Abdomen
Adolescent
Adult
Aged
Colorado - epidemiology
Extremities
Female
Fibrosarcoma
Humans
Incidence
Liposarcoma
Liver
Lymphatic system
Male
Metastasis
Middle Aged
Patients
Radiation
Rare Diseases
Risk Assessment - methods
Risk Factors
Sarcoma
Sarcoma - epidemiology
Sarcoma - secondary
Sepsis
Tumors
Ultrasonic imaging
Young Adult
Colorado
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Summary:The most common metastatic route for extremity soft-tissue sarcomas is via the venous system to the lungs. Metastases to other sites such as the brain, liver, and soft tissue distant from the primary tumor are rare. A tumor registry, prospectively kept since 1986, was reviewed for unusual metastatic spread. Of 3671 tumors, 346 high-grade extremity soft-tissue sarcomas were evaluated. A total of 15 patients (4.3%) presented with initial recurrence of disease that was extrapulmonary and distant from the site of the primary tumor. Four of these patients (27%) were successfully treated for their recurrence. Based on these findings, a different strategy for follow-up of patients after treatment of a high-grade extremity soft-tissue sarcoma is suggested.
ISSN:0147-7447
1938-2367
DOI:10.3928/01477447-20110414-14