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Review
. 2015 Apr;111(5):553-61.
doi: 10.1002/jso.23840. Epub 2014 Dec 5.

Surgical management of retroperitoneal and pelvic sarcomas

Marcus C B Tan  1 , Sam S Yoon
Affiliations
Review

Surgical management of retroperitoneal and pelvic sarcomas

Marcus C B Tan et al. J Surg Oncol. 2015 Apr.

Abstract

Management of retroperitoneal sarcomas presents technical and oncological challenges. Imaging is crucial for diagnosis and to define local tumor extent. Complete gross resection at initial presentation is the best chance for cure, but there is controversy as to how this can be best achieved. There is a long-term risk of local recurrence, which is best treated with repeat resection if feasible. The roles of radiation and chemotherapy remain undefined.

Keywords: retroperitoneal sarcoma; soft tissue sarcoma; surgery.

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Figures

Figure 1
Figure 1
Well differentiated/dedifferentiated liposarcoma. (A) Axial image of right retroperitoneal well-differentiated liposarcoma which appears as an area of abnormal appearing fat (arrows). (B) Coronal image showing area of dedifferentiation, which appears as a more solid area within or adjacent to abnormal appearing fat (arrowheads).
Figure 2
Figure 2
Inferior vena cava leiomyosarcoma. (A) Axial image of an IVC leiomyosarcoma at the level of the renal veins. (B) Coronal image showing extension of tumor from liver to bifurcation.
See this image and copyright information in PMC

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