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Liposarcoma of the Spermatic Cord: Impact of Final Surgical Intervention—An Institutional Experience
Joint Authors
Bachmann, R.
Rolinger, J.
Girotti, P.
Heissner, K.
Amend, B.
Ladurner, Ruth
Kopp, Hans-Georg
Königsrainer, Alfred
Source
International Journal of Surgical Oncology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-14
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Paratesticular liposarcomas are almost always mistakenly diagnosed as inguinal hernias subsequently followed by inadequate operation.
Methods.
14 consecutive patients with paratesticular liposarcoma were retrospectively reviewed.
Preoperative management was evaluated.
Disease-free and overall survival were determined.
Results.
In 11 patients primary and in 3 patients recurrent liposarcoma of the spermatic cord were diagnosed.
Regarding primary treatment in primary surgical intervention resection was radical (R0) in 7 of 14 (50%) patients, marginal (R1) in 6 (43%) patients, and incomplete with macroscopic residual tumour (R2) in 1 (7%) patient.
Primary treatment secondary surgical intervention was performed in 4 patients: resection was radical (R0) in 3 (75%) patients and marginal (R1) in 1 (25%) patient.
Regarding secondary treatment in recurrent disease resection was marginal (R1) in 3 patients (100%).
Final histologic margins were negative in 10 patients with primary disease (71%) and positive in 4 patients with subsequent recurrent disease.
After radical resection disease-free survival rates at 3 years were 100%.
Overall survival at 4.5 years (54 (18–180) months) was 64%.
Conclusion.
An incomplete first surgical step increases the number of positive margins leading to local recurrences and adverse prognoses.
Aggressive surgery should be attempted to attain 3-dimensional negative margins.
American Psychological Association (APA)
Bachmann, R.& Rolinger, J.& Girotti, P.& Kopp, Hans-Georg& Heissner, K.& Amend, B.…[et al.]. 2016. Liposarcoma of the Spermatic Cord: Impact of Final Surgical Intervention—An Institutional Experience. International Journal of Surgical Oncology،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1107076
Modern Language Association (MLA)
Bachmann, R.…[et al.]. Liposarcoma of the Spermatic Cord: Impact of Final Surgical Intervention—An Institutional Experience. International Journal of Surgical Oncology No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1107076
American Medical Association (AMA)
Bachmann, R.& Rolinger, J.& Girotti, P.& Kopp, Hans-Georg& Heissner, K.& Amend, B.…[et al.]. Liposarcoma of the Spermatic Cord: Impact of Final Surgical Intervention—An Institutional Experience. International Journal of Surgical Oncology. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1107076
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1107076