Importance of preoperative diagnosis for management of patients with suspected retroperitoneal sarcoma

ANZ J Surg. 2018 Apr;88(4):274-277. doi: 10.1111/ans.14125. Epub 2017 Aug 2.

Abstract

Soft tissue sarcoma is an umbrella term which encompasses over 60 histological tumour types. Approximately 15% of soft tissue sarcomas arise in the retroperitoneum. This complex group of tumours poses unique management challenges due to their often large size, histological heterogeneity and complexity of anatomical relationships. This review discusses the management of retroperitoneal tumours including the need for preoperative diagnosis, the evidence for neoadjuvant radiotherapy, the role of multivisceral resection and the importance of a multidisciplinary team approach.

Keywords: leiomyosarcoma; liposarcoma; radiotherapy; retroperitoneal sarcoma; soft tissue sarcoma.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Humans
  • Interdisciplinary Communication
  • Leiomyosarcoma / epidemiology
  • Leiomyosarcoma / pathology
  • Liposarcoma / epidemiology
  • Liposarcoma / pathology
  • Neoadjuvant Therapy / methods
  • Preoperative Care / standards*
  • Retroperitoneal Neoplasms / diagnostic imaging
  • Retroperitoneal Neoplasms / epidemiology
  • Retroperitoneal Neoplasms / pathology*
  • Sarcoma / drug therapy
  • Sarcoma / pathology*
  • Sarcoma / radiotherapy
  • Sarcoma / surgery
  • Soft Tissue Neoplasms / pathology*