Креативная хирургия и онкология (Oct 2022)

Clinical Case of Successful Surgical Treatment for Giant Cell Metastatic Lung Sarcoma

  • G. A. Baksiyan,
  • N. G. Stepanyants,
  • D. N. Astakhov,
  • A. V. Aksenenko,
  • A. A. Zavyalov

DOI
https://doi.org/10.24060/2076-3093-2022-12-3-250-255
Journal volume & issue
Vol. 12, no. 3
pp. 250 – 255

Abstract

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Introduction. Sarcomas refer to a group of heterogeneous non-epithelial malignant tumors originating from connective tissue. These tumors are characterized by extremely aggressive local growth, relatively low incidence of lymphogenic metastases, predominant and early hematogenic generalization. These tumors most oft en metastasize to the lungs.Materials and methods. The paper describes a case of successful surgical treatment for a giant retroperitoneal fibrosarcoma metastasis to the lung.Results. Successful treatment for sarcoma depends primarily on a global understanding by oncologists of the complex pathogenesis, histological forms and principles of comprehensive treatment for this complex, polymorphic group of malignant pathologies. The earlier the primary site is diagnosed, the sooner and more definitely the surgical treatment is performed, and the more correctly the drug therapy is carried out, the better the result of the complex treatment approach. Similarly, sarcoma secondary sites should be treated proactively – without waiting until their size and local spread contraindicate surgical treatment. Conclusion. Neglected sarcoma cases indicate the need for combined and extended surgical interventions, one successful example of which is described in this paper.

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