Orthopedics: Musculoskeletal Tumors

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bookPart
Data de publicação
2022
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SPRINGER INTERNATIONAL PUBLISHING
Citação
Baptista, A. M.; Rebolledo, D. C. S.; Junior, M. C. M. T.; Correia, L. F. M.; Caiero, M. T.; Teixeira, W. J.; Narazaki, D. K.; de França Camargo, A. F.; de Camargo, O. P.. Orthopedics: Musculoskeletal Tumors. In: . Vascular Surgery in Oncology: SPRINGER INTERNATIONAL PUBLISHING, 2022. p.201-222.
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Resumo
Amputation has historically been the first choice of treatment for patients with bone or soft tissue sarcomas of the extremities involving major blood vessels. However, recent advances in surgical technique have allowed limb-salvage surgery in a significant number of cases. Nowadays, most patients with malignant bone tumors can be treated with limb-salvage procedures whenever wide margins are possible. Surgical resection of bone and soft tissue tumors, with or without adjuvant radiation therapy, is effective in achieving local control, and limb-salvage procedures have been accepted because they achieve survival rates comparable to those of amputation allowing better quality of life. Along with other reconstructive techniques, vascular reconstruction might allow limb-sparing surgery and avoid amputation in patients with malignant tumors involving major vessels. Intraarterial embolization may as well serve as adjuvant therapy for major resection surgeries or therapeutic in some types of irresectable tumors. © Springer Nature Switzerland AG 2022.
Palavras-chave
Arthroplasty, Bone neoplasms, Sarcoma, Soft tissue neoplasm, Vascular grafting
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