Reliability of Margin Assessment after Surgery for Extremity Soft Tissue Sarcoma: The SSG Experience
Surgery remains the mainstay of soft tissue sarcoma (STS) treatment and has been the primary treatment for the majority of patients in Scandinavia during the last 30 years although the use of adjuvant radiotherapy has increased. Patient and treatment characteristics have been recorded in the Scandin...
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Series: | Sarcoma |
Online Access: | http://dx.doi.org/10.1155/2012/290698 |
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doaj-29e0edaf896945b7b2307477742287a42020-11-24T22:41:38ZengHindawi LimitedSarcoma1357-714X1369-16432012-01-01201210.1155/2012/290698290698Reliability of Margin Assessment after Surgery for Extremity Soft Tissue Sarcoma: The SSG ExperienceClement S. Trovik0Sigmund Skjeldal1Henrik Bauer2Anders Rydholm3Nina Jebsen4Musculoskeletal Tumour Center, Department of Orthopedics/Oncology, Haukeland University Hospital, 5021 Bergen, NorwayDepartment of Orthopedics, Oslo University Hospital, Radiumhospitalet, 0310 Oslo, NorwayDivision of Orthopedics, Department of Molecular Medicine and Surgery, Karolinska Institute, Karolinska University Hospital, 17176 Stockholm, SwedenDepartment of Orthopedics, Institute of Clinical Sciences, Skane University Hospital, Lund University, 22185 Lund, SwedenMusculoskeletal Tumour Center, Department of Orthopedics/Oncology, Haukeland University Hospital, 5021 Bergen, NorwaySurgery remains the mainstay of soft tissue sarcoma (STS) treatment and has been the primary treatment for the majority of patients in Scandinavia during the last 30 years although the use of adjuvant radiotherapy has increased. Patient and treatment characteristics have been recorded in the Scandinavian Sarcoma Group (SSG) Register since 1987. When the effect of new radiotherapy guidelines from 1998 was evaluated, the reliability of surgical margin assessments among different Scandinavian institutions was investigated. Margins were reevaluated by a panel of sarcoma surgeons, studying pathology and surgical reports from 117 patients, randomly selected among 470 recorded patients treated between 1998–2003. In 80% of cases, the panel agreed with the original classification. Disagreement was most frequent when addressing the distinction between marginal and wide margins. Considered the element of judgment inherent in all margin assessment, we find this reliability acceptable for using the Register for studies of local control of STS.http://dx.doi.org/10.1155/2012/290698 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Clement S. Trovik Sigmund Skjeldal Henrik Bauer Anders Rydholm Nina Jebsen |
spellingShingle |
Clement S. Trovik Sigmund Skjeldal Henrik Bauer Anders Rydholm Nina Jebsen Reliability of Margin Assessment after Surgery for Extremity Soft Tissue Sarcoma: The SSG Experience Sarcoma |
author_facet |
Clement S. Trovik Sigmund Skjeldal Henrik Bauer Anders Rydholm Nina Jebsen |
author_sort |
Clement S. Trovik |
title |
Reliability of Margin Assessment after Surgery for Extremity Soft Tissue Sarcoma: The SSG Experience |
title_short |
Reliability of Margin Assessment after Surgery for Extremity Soft Tissue Sarcoma: The SSG Experience |
title_full |
Reliability of Margin Assessment after Surgery for Extremity Soft Tissue Sarcoma: The SSG Experience |
title_fullStr |
Reliability of Margin Assessment after Surgery for Extremity Soft Tissue Sarcoma: The SSG Experience |
title_full_unstemmed |
Reliability of Margin Assessment after Surgery for Extremity Soft Tissue Sarcoma: The SSG Experience |
title_sort |
reliability of margin assessment after surgery for extremity soft tissue sarcoma: the ssg experience |
publisher |
Hindawi Limited |
series |
Sarcoma |
issn |
1357-714X 1369-1643 |
publishDate |
2012-01-01 |
description |
Surgery remains the mainstay of soft tissue sarcoma (STS) treatment and has been the primary treatment for the majority of patients in Scandinavia during the last 30 years although the use of adjuvant radiotherapy has increased. Patient and treatment characteristics have been recorded in the Scandinavian Sarcoma Group (SSG) Register since 1987. When the effect of new radiotherapy guidelines from 1998 was evaluated, the reliability of surgical margin assessments among different Scandinavian institutions was investigated.
Margins were reevaluated by a panel of sarcoma surgeons, studying pathology and surgical reports from 117 patients, randomly selected among 470 recorded patients treated between 1998–2003. In 80% of cases, the panel agreed with the original classification. Disagreement was most frequent when addressing the distinction between marginal and wide margins. Considered the element of judgment inherent in all margin assessment, we find this reliability acceptable for using the Register for studies of local control of STS. |
url |
http://dx.doi.org/10.1155/2012/290698 |
work_keys_str_mv |
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