Is Surgery The Best Option For Patient Is Diagnosed With High Grade Soft Tissue Sarcoma In Right Thigh?

Posted on 2 days ago

Question: Patient is diagnosed with High Grade Soft tissue Sarcoma in right thigh, seen in medial and anterior-medial aspect upper 1/3rd of the thigh region in the intramuscular plane involving medial compartment muscles.

Consulting doctor is suggesting for Surgery. Is surgery the best option for this case?

Answered by Dr. dr. Jawahar Ticku (41 hours later)

Brief Answer:
Sarcoma Right thigh

Detailed Answer:
Dear,
Since it is high grade sarcoma, we have to know that there is no spread beyond thigh as this type of tumor is likely to spread to the lung. If yes which can be known by PET scan, then surgery will have limited role. More so you have high morbidity factors Surgery may have limited role. If the tumor is very localised and lesion is small surgery is preferred otherwise alternate treatment like Radiation therapy and chemo should be considered. Overall result will not be favourable.
Thanks for your query.
J.Ticku

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. dr. Jawahar Ticku (5 hours later)

Hello Doctor, Tumor is localised and PET CT shows there is no spreading of the Tumor to lungs or other part of the body. Since the patient is having LV dysfunction and TB, is surgery best option?

Answered by Dr. dr. Jawahar Ticku (3 days later)

Brief Answer:
Sarcoma Rt.thigh

Detailed Answer:
Dear XXXXXXX
L V disfunction should not be problem for anaesthetist as it can be done under spinal anaesthesia. Since pet scan shows it is a localised tumor the surgery would be better option followed by radiation if need be.
As such sarcomas are not very sensitive to Radio or chemo so for this localised tumor surgery will be a very good option.

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Above answer was peer-reviewed by : Dr. Vaishalee Punj