Sarcomas of the hand: A retrospective series of 26 cases
| Autor: | David Biau, Philippe Anract, Julien Even, Joannie Thumser, Adeline Cambon-Binder, Antoine Babinet |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Pediatrics Referral Soft Tissue Neoplasms Delayed diagnosis Cohort Studies 03 medical and health sciences 0302 clinical medicine medicine Initial treatment Humans Orthopedics and Sports Medicine Cumulative incidence Retrospective Studies 030222 orthopedics Series (stratigraphy) business.industry Mean age Sarcoma 030229 sport sciences medicine.disease Hand Surgery Cohort Neoplasm Recurrence Local business |
| Zdroj: | Orthopaedicstraumatology, surgeryresearch : OTSR. 108(4) |
| ISSN: | 1877-0568 |
| Popis: | Background Hand sarcomas frequently suffer from a delayed diagnosis, and the current guidelines for their management are often not followed. Methods The objectives of our study were to determine: (1) the rate of inadequate initial treatments; (2) the rates of mortality, recurrence, and complementary excision in a cohort of patients with a sarcoma of the hand who were treated at our reference center between 2000 and 2015. Results The series comprised 26 patients (mean age 40 years). Of the 20 patients not initially treated at a reference center, 17 had inadequate initial treatment. Of the six patients treated at our center, one had inadequate initial care. Significantly more patients had inadequate initial care outside a reference center (p = 0.0045). The cumulative probabilities of recurrence or metastases at 5 years were 15% and 30%, respectively. Survival by cumulative incidence was 71% at 5 years and 56% at 10 years. Conclusions Sarcomas of the hand are a deadly pathology. All diagnostic uncertainty warrants referral of the patient to a reference center. Level of proof IV. |
| Databáze: | OpenAIRE |
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