Surgical Management of Pulmonary Metastases from Sarcoma
Sarcomas, despite being a disparate group of malignant diseases, share a common propensity to metastasise to the lungs, regardless of origin of the primary. This risk correlates with location, size, grade and histological subtype [1]. Often this is the on
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Sarcoma
Peter F. M. Choong Editor
Sarcoma A Practical Guide to Multidisciplinary Management
Editor Peter F. M. Choong St. Vincent’s Hospital Melbourne, Peter MacCallum Cancer Centre and University of Melbourne Department of Surgery Victoria, VIC Australia
ISBN 978-981-15-9413-7 ISBN 978-981-15-9414-4 (eBook) https://doi.org/10.1007/978-981-15-9414-4 © Springer Nature Singapore Pte Ltd. 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore
Preface
Sarcoma is a heterogeneous group of tumours that arise from mesenchymal tissue. Unlike the more common carcinoma, sarcoma is rare, and whose behaviour is characterised by substantial growth, a propensity to metastasise and aggressive recurrence if managed sub-optimally. The rarity of this tumour also means that for the majority of clinicians, diagnosis and treatment of such a tumour is typically confined to exceedingly low numbers over a lifetime. With this low level of exposure comes an inexperience which underpins earlier reported rates of treatment failure. For the patient, life and limb loss has been the sequel to a diagnosis of sarcoma in the past. Modern sarcoma care is now characterised by a multidisciplinary, centre-based approach which capitalises on advances in diagnostics, radiotherapy, chemotherapy and surgery. Limb preservation surgery is now the norm for many who in the past faced amputation. For a condition with a near fatal outcome only 50 years ago, patients may now expect 5-year survival rates over 70%, one of the most substantial survival improvements amongst all solid cancers. Appropriate management from the beginning underpins good treatment outcomes. This requires a systematic und
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