A system for the surgical staging of musculoskeletal sarcoma

Gerrand, CH; Rankin, K

doi:10.1007/978-1-4471-5451-8_127

A system for the surgical staging of musculoskeletal sarcoma

Lookup NU author(s): Craig Gerrand, Dr Kenneth Rankin ORCiD

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Abstract

© 2014 Springer-Verlag London. All rights are reserved. This paper proposes a system for the surgical staging of musculoskeletal sarcomas based on the grade of the tumour, its anatomical site and the presence or absence of metastases. There are three stages: I-low grade; II-high grade and III-presence of metastases. These are then divided by (a) whether the tumour is confi ned within an anatomical compartment, or (b) whether the tumour has extended beyond its compartment of origin or if it is lies within ill-defi ned fascial planes and spaces. Operative margins are defi ned as intralesional, marginal, wide, or radical depending upon where the plane of resection passes relative to the tumour, its reactive zone and the boundaries of the anatomical compartment. The system therefore defi nes stages with prognostic and surgical signifi cance and which can inform treatment.