Impact of Loco-regional Surgical Control on Survival of Extremity Soft Tissue Sarcoma among Patients of Hadhramout National Cancer Center
Advances in Surgical Sciences
Volume 7, Issue 1, June 2019, Pages: 15-20
Received: Dec. 23, 2018; Accepted: Jan. 23, 2019; Published: Feb. 15, 2019
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Authors
Salah Ahmed Binziad, Department of Surgery, College of Medicine, Hadhramout University, Mukalla, Hadhramout, Yemen
Abdulla Saleh Alyamani, Department of Surgery, College of Medicine, Hadhramout University, Mukalla, Hadhramout, Yemen
Khalid Ahmed Baeesa, Department of Orthopedic Surgery, College of Medicine, Hadhramout University, Mukalla, Hadhramout, Yemen
Waleed Khaled Kaleem, Department of Clinical Oncology, Faculty of Medicine, Hadhramout University, Mukalla, Hadhramout, Yemen
Adnan Abdullah Bakarman, Department of Hematology, Faculty of Medicine Hadhramout University, Mukalla, Hadhramout, Yemen
Moutez Alyazedi, Family Medicine, Faculty of Medicine, Hadhramout University, Mukalla, Hadhramout, Yemen
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Abstract
Background: Loco-regional surgery remains the mainstay therapy of extremity soft tissue sarcoma (ESTS) and provides the only chance of cure. Improvements of surgical technique, increased surgical experience, radiotherapy, adjuvant and neoadjuvant chemotherapy increased the survival. Aim of study: to evaluate the effect of the type of surgical intervention on the survival and quality of life of ESTS Patients. Methods: This is a prospective study to evaluate the impact of loco-regional surgical control on the survival among ESTS patients attended the National Cancer Center, Hadhramout -Yemen, between April 2010 and October 2018. Extremity soft tissue sarcoma patients were operated either by wide-local excision with safety margin or amputation or disarticulation. The study population consisted of 52 patients in which males and females represented (53.85%) and (46.15%) respectively. The three variable methods were compared using Chi-square test. Survival rate was analyzed by Kaplan-Meier test. Results: Fifty two patients, 12 patients in Group I (23, 1%), 10 patients in Group II (19.2%) and 30 patient’s in Group III (57.7%). The mean survival in patients underwent disarticulation was (77.5) months, while patients who had an amputation, the survival was (45.5) months, and in wide local resection patients was (59.9) months. The mean overall survival was (65.9) months, P value > (0.026) which was significant. Among the 3 different types of management, high overall survival rate was found in patients underwent disarticulation, while overall survival rate was also high in patient underwent wide local excision or compartmental resection in spite of functional limb preservation and good quality of life. The mean overall survival rate was low in patients who had limb amputation with loss of limb function. Conclusion: The wide local excision or compartmental resection mandates margin-negative, accepted post-operative local wound complication, associated with prolonged disease-free-survival and overall survival than other methods. Must be deal with improve patient overall survival, decrease local recurrence and obtained best Oncological outcome by preserve function with good quality of life for ESTS patients who underwent wide or compartmental resection or radical limb sparing surgery.
Keywords
Extremity Soft Tissue Sarcoma, Overall Survival, Local Control, Outcome
To cite this article
Salah Ahmed Binziad, Abdulla Saleh Alyamani, Khalid Ahmed Baeesa, Waleed Khaled Kaleem, Adnan Abdullah Bakarman, Moutez Alyazedi, Impact of Loco-regional Surgical Control on Survival of Extremity Soft Tissue Sarcoma among Patients of Hadhramout National Cancer Center, Advances in Surgical Sciences. Vol. 7, No. 1, 2019, pp. 15-20. doi: 10.11648/j.ass.20190701.14
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Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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