Soft Tissue Tumors in Adults: ESSR-Approved Guidelines for Diagnostic Imaging

Iris M. Noebauer-Huhmann; Marc-André Weber; Radhesh K. Lalam; Siegfried Trattnig; Klaus Bohndorf; Filip Vanhoenacker; Alberto Tagliafico; Carla van Rijswijk; Joan C. Vilanova; P. Diana Afonso; Martin Breitenseher; Ian Beggs; Philip Robinson; Milko C. de Jonge; Christian Krestan; Johan L. Bloem

doi:10.1055/s-0035-1569251

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2015; 19(05): 475-482
DOI: 10.1055/s-0035-1569251

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Soft Tissue Tumors in Adults: ESSR-Approved Guidelines for Diagnostic Imaging

Iris M. Noebauer-Huhmann

⁶Department of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Austria

,

Marc-André Weber

¹Diagnostic and Interventional Radiology, University Hospital Heidelberg Im Neuenheimer Feld, Heidelberg, Germany

,

Radhesh K. Lalam

³Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom

,

Siegfried Trattnig

⁶Department of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Austria

,

Klaus Bohndorf

⁶Department of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Austria

,

Filip Vanhoenacker

⁵Department of Radiology, General Hospital Sint-Maarten, Duffel-Mechelen, Universities of Antwerp and Ghent, Duffel, Belgium

,

Alberto Tagliafico

²Department of Experimental Medicine -DIMES-, Institute of Anatomy, University of Genova, Genova, Italy

,

Carla van Rijswijk

¹¹Department of Radiology, Leiden University Medical Center, the Netherlands

,

Joan C. Vilanova

⁴Clínica Girona, Institut Catalan of Health-IDI, University of Girona, Girona, Spain

,

P. Diana Afonso

¹³Hospital Beatriz Angelo, Lisbon, Portugal

,

Martin Breitenseher

¹⁴Orthopedic Surgery, Radiology, Landesklinikum Horn, Horn, Austria

,

Ian Beggs

¹²Department of Radiology, Royal Infirmary, Edinburgh, United Kingdom

,

Philip Robinson

⁹Leeds Teaching Hospitals Trust, Chapel Allerton Hospital, Leeds, United Kingdom

¹⁰Leeds Musculoskeletal Biomedical Research Unit, University of Leeds, Leeds, United Kingdom

,

Milko C. de Jonge

⁷Department of Radiology, Zuwe Hofpoort Hospital, Woerden, the Netherlands

⁸Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Center, Amsterdam, the Netherlands

,

Christian Krestan

⁶Department of Biomedical Imaging and Image Guided Therapy, Medical University of Vienna, Austria

,

Johan L. Bloem

¹¹Department of Radiology, Leiden University Medical Center, the Netherlands

› Author Affiliations

Abstract

Soft tissue sarcomas are rare, but early, accurate diagnosis with subsequent appropriate treatment is crucial for the clinical outcome. The ESSR guidelines are intended to help radiologists in their decision-making and support discussion among clinicians who deal with patients with suspected or proven soft tissue tumors. Potentially malignant lesions recognized by ultrasound should be referred for magnetic resonance imaging (MRI), which also serves as a preoperative local staging modality, with specific technical requirements and mandatory radiological report elements. Radiography may add information about matrix calcification and osseous involvement. Indeterminate lesions, or lesions in which therapy is dependent on histology results, should be biopsied. For biopsy, we strongly recommend referral to a specialist sarcoma center, where an interdisciplinary tumor group, with a specialized pathologist, radiologist, and the surgeon are involved. In sarcoma, a CT scan of the chest is mandatory. Additional staging modalities are entity-specific. There are no evidence-based recommendations for routine follow-up in surgically treated sarcomas. However, we would recommend regular follow-up with intervals dependent on tumor grade, for 10 years after the initial diagnosis.

Keywords

soft tissue tumor - guidelines - diagnostic algorithm - imaging methods - ESSR

Full Text

References

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