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This book offers a comprehensive overview of both diagnosis and treatment of soft tissue tumors, ranging from imaging and pathological work-up to non-surgical treatment options and limb salvage surgery.
In the first part readers will learn currents concepts, controversial areas and future perspectives in the classification, diagnostics and treatment of soft tissue tumors. The second part is entirely devoted to the presentation of several clinical cases grouped together by anatomical region. On the whole, this work not only shares the most up-to-date knowledge but also envisions a more philosophical and in-depth approach to this challenging group of tumors.
Written by internationally renowned experts in the field, this volume is a must-read for senior orthopedic surgery residents, orthopedic oncology fellows and orthopedic oncologists. It will further appeal to musculoskeletal pathologists and radiologists as well as clinical, pediatric and radiation oncologists, wishing to deepening their knowledge of soft tissue tumors.
Pages i-x
Front Matter
Pages 1-1
The Classification of Soft Tissue Tumors: Historical Aspects and Recent Advances
Pages 3-17
General Considerations in Magnetic Resonance Imaging of Soft-Tissue Tumors
Pages 19-27
MRI Assessment of Surgical Margins, Residual Tumors and Recurring Lesions
Pages 29-41
Future Perspectives: Metabolic Imaging, Theranostics, and Radiomics
Pages 43-53
The Role of Whole-Body Magnetic Resonance Imaging in Soft Tissue Tumors
Pages 55-64
Histopathologic Challenges in the Diagnostic Stage
Pages 65-71
Histological Challenges in the Intra-operative Stage
Pages 73-80
Histopathological Challenges in the Postoperative Stages
Pages 81-85
Staging of Soft Tissue Sarcomas
Pages 87-89
Should Prediction Models Decide Treatment?
Pages 91-99
Medical Oncological Treatment of Adult Patients with Soft Tissue Sarcoma
Pages 101-108
Medical Oncological Treatment of the Pediatric Patient
Pages 109-116
Radiotherapy for Treatment of Adult Soft Tissue Sarcomas
Pages 117-124
IORT and Brachytherapy for Extremity Soft Tissue Sarcoma
Pages 125-130
Classification from a Surgical Perspective
Pages 131-158
The Concept of Surgical Margins from a Surgical Perspective
Pages 159-164
Is It Right, Safe, and Justified to Modulate the Margins?
Pages 165-173
Surgical Strategy in Primary, Relapse, and “Whoops” Cases
Pages 175-185
Soft Tissue Sarcomas: Philosophy of Surgical Approach
Pages 187-192
Principles of Upper Extremity Reconstruction Following Soft-Tissue Sarcoma Resection
Pages 193-206
Principles of Lower Extremity Reconstruction Following Soft Tissue Sarcoma Resection
Pages 207-217
Extremity Soft Tissue Sarcoma: Assessing Treatment-Related Morbidity
Pages 219-231
Pages 233-238
Prevention and Treatment of Complications
Pages 239-244
Management Algorithm for Extremity Soft Tissue Sarcomas
Pages 245-253
Front Matter
Pages 255-255
Soft-Tissue Sarcoma of the Thigh with Extensive Osseous Involvement
Pages 257-263
Liposarcoma of the Thigh: Multimodal Treatment and Long-Term Concerns
Pages 265-274
Malignant Tenosynovial Giant Cell Tumor of the Foot
Pages 275-281
Synovial Sarcoma of the Forearm: Diagnostic Pitfalls and Biological Reconstruction
Pages 283-293
Synovial Sarcoma of the Paravertebral Region with Osseous Involvement
Pages 295-305
Metastatic Mixed-Type Liposarcoma of the Popliteal Fossa: Multimodal Treatment
Pages 307-315
Tenosynovial Giant Cell Tumour of the Foot with Osseous Involvement
Pages 317-324
Pages 325-329
Undifferentiated Pleomorphic Sarcoma of the Thigh: Diagnostic Pitfalls and Complex Reconstruction
Pages 331-336
Undifferentiated Pleomorphic Sarcoma: Management of Recurrent Chest Wall Mass
Pages 337-343
Nonsurgical Management of Desmoid-Type Fibromatosis
Pages 345-349
Wide Excision of a Large Sarcoma of the Pubic Region: Orthoplasty Reconstruction
Pages 351-354
Limb Salvage with Isolated Limb Perfusion in Soft Tissue Sarcoma
Pages 355-359
Pages 361-366
Multimodal Treatment and Functional Soft Tissue Reconstruction in Giant Liposarcoma of the Thigh
Pages 367-371
Alternative to Extra-Articular Resection in Synovial Sarcoma of the Knee
Pages 373-383
Limb Salvage Made Possible Through Neoadjuvant Treatment in Inoperable Infantile Fibrosarcoma
Pages 385-391
Extensive Periosteum-Stripping Resection Without Prophylactic Femur Fixation in Thigh Tumors
Pages 393-401
Pages 403-408
Soft Tissue Sarcoma of the Foot and Ankle: Wide Resection and Free Gracilis Flap
Pages 409-418
Synovial Sarcoma of the Foot Treated with Recycled Bone Graft and Soft Tissue Reconstruction
Pages 419-422
Recurrent Pleomorphic Sarcoma of the Thigh Treated with Radiotherapy and Total Femur Prosthesis
Pages 423-427
Treating the Soft Tissue Tumor of the Hand
Pages 429-442
Neoadjuvant Treatment Facilitating Surgery
Pages 443-450
Soft Tissue Sarcoma in Contact with Bone: Is Bone Resection Indicated?
Pages 451-456
Soft Tissue Sarcoma with Osseous Invasion
Pages 457-465
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