Limb Salvage in Malignant Tumors

Hans-Ulrich Steinau; Adrien Daigeler; Stefan Langer; Lars Steinsträsser; Jörg Hauser; Ole Goertz; Markus Lehnhardt

doi:10.1055/s-0030-1253240

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg 2010; 24(1): 018-033
DOI: 10.1055/s-0030-1253240

Limb Salvage in Malignant Tumors

Hans-Ulrich Steinau¹ , Adrien Daigeler¹ , Stefan Langer¹ , Lars Steinsträsser¹ , Jörg Hauser¹ , Ole Goertz¹ , Markus Lehnhardt¹

¹Department of Plastic Surgery and Burns, Sarcoma Reference Center, BG–University Hospital “Bergmannsheil,” Ruhr-University, Bochum, Germany

Abstract

ABSTRACT

Limb-sparing resection and reconstruction has become the treatment of choice in extremity malignancies, as amputation does not provide better long-term survival rates or functional advantages. R0 resection, the removal of the tumor in sano, remains the prerequisite and most important oncologic parameter to avoid local recurrence. Successful treatment requires the combination of surgical eradication and the patient's specific functional and aesthetic rehabilitation. Our clinical rationale resulting from more than 2000 cases will be demonstrated. The problematic aspects of different tumor entities and the locoregional clearance of lymphatic pathways will be discussed. Differential diagnosis and multimodality treatment in high-volume tumor centers is likely to achieve superior oncologic statistics. Long-term survivors after microsurgical reconstructions and possible secondary malignancies will be addressed.

KEYWORDS

Microsurgery in limb oncology - resection and functional reconstruction - tendon transfer in the lower extremity - soft tissue sarcoma - secondary malignancies in long-term survivors

Full Text

References

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Hans-Ulrich SteinauM.D.

Head, Department of Plastic Surgery and Burns, Sarcoma Reference Center, BG–University Hospital “Bergmannsheil,” Ruhr-University Bochum

Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany

Email: hans-ulrich.steinau@bergmannsheil.de