Aarhus University Seal / Aarhus Universitets segl

Peter Vedsted

Characteristics of 64 sarcoma patients referred to a sarcoma center after unplanned excision

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

Characteristics of 64 sarcoma patients referred to a sarcoma center after unplanned excision. / Dyrop, Heidi Buvarp; Safwat, Akmal; Vedsted, Peter; Nielsen, Katja Maretty; Hansen, Bjarne Hauge; Jørgensen, Peter Holmberg; Baad-Hansen, Thomas; Keller, Johnny.

I: Journal of Surgical Oncology, Bind 113, Nr. 2, 02.2016, s. 235-9.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

APA

CBE

MLA

Vancouver

Author

Bibtex

@article{032a0505415d46089e6322aca90e0dcb,
title = "Characteristics of 64 sarcoma patients referred to a sarcoma center after unplanned excision",
abstract = "BACKGROUND AND METHODS: Unplanned excision of sarcoma before referral to specialist centers can affect prognosis and surgical outcome. The diagnostic pathway of these patients is uncertain and needs to be reviewed. We aimed to describe patient and tumor characteristics, initial symptoms, initial and final diagnosis, and explore reasons for unplanned excision in this patient group. From a previous study on 258 sarcoma patients, we identified 64 patients referred after surgery. Medical records were reviewed.RESULTS: The majority were soft tissue sarcomas, most often with thoracic location. Leiomyosarcoma was the most frequent final diagnosis, lipoma, and fibroma/dermatofibroma the most frequent initial diagnoses. Fifty percent were superficial small tumors, and 60.9% had not received diagnostic imaging before surgery. Fifty percent were referred from public surgical departments, and 1/3 from private specialists. Twenty-three patients had initial presence of alarm symptoms registered before surgery, the remaining 2/3 fell outside referral criteria or alarm symptoms were not discovered.CONCLUSIONS: Patients referred after unplanned excision often have small superficial tumors and the majority fall outside of defined referral criteria. Referral criteria are not a guarantee for detection of all sarcomas and surgeons should always be aware of the possibility of malignancy when removing a tumor.",
keywords = "Adult, Aged, Denmark, Female, Humans, Male, Middle Aged, Neoplasm Recurrence, Local, Prognosis, Referral and Consultation, Sarcoma, Soft Tissue Neoplasms, Journal Article",
author = "Dyrop, {Heidi Buvarp} and Akmal Safwat and Peter Vedsted and Nielsen, {Katja Maretty} and Hansen, {Bjarne Hauge} and J{\o}rgensen, {Peter Holmberg} and Thomas Baad-Hansen and Johnny Keller",
note = "{\textcopyright} 2016 Wiley Periodicals, Inc.",
year = "2016",
month = feb,
doi = "10.1002/jso.24137",
language = "English",
volume = "113",
pages = "235--9",
journal = "Journal of Surgical Oncology",
issn = "0022-4790",
publisher = "JohnWiley & Sons, Inc.",
number = "2",

}

RIS

TY - JOUR

T1 - Characteristics of 64 sarcoma patients referred to a sarcoma center after unplanned excision

AU - Dyrop, Heidi Buvarp

AU - Safwat, Akmal

AU - Vedsted, Peter

AU - Nielsen, Katja Maretty

AU - Hansen, Bjarne Hauge

AU - Jørgensen, Peter Holmberg

AU - Baad-Hansen, Thomas

AU - Keller, Johnny

N1 - © 2016 Wiley Periodicals, Inc.

PY - 2016/2

Y1 - 2016/2

N2 - BACKGROUND AND METHODS: Unplanned excision of sarcoma before referral to specialist centers can affect prognosis and surgical outcome. The diagnostic pathway of these patients is uncertain and needs to be reviewed. We aimed to describe patient and tumor characteristics, initial symptoms, initial and final diagnosis, and explore reasons for unplanned excision in this patient group. From a previous study on 258 sarcoma patients, we identified 64 patients referred after surgery. Medical records were reviewed.RESULTS: The majority were soft tissue sarcomas, most often with thoracic location. Leiomyosarcoma was the most frequent final diagnosis, lipoma, and fibroma/dermatofibroma the most frequent initial diagnoses. Fifty percent were superficial small tumors, and 60.9% had not received diagnostic imaging before surgery. Fifty percent were referred from public surgical departments, and 1/3 from private specialists. Twenty-three patients had initial presence of alarm symptoms registered before surgery, the remaining 2/3 fell outside referral criteria or alarm symptoms were not discovered.CONCLUSIONS: Patients referred after unplanned excision often have small superficial tumors and the majority fall outside of defined referral criteria. Referral criteria are not a guarantee for detection of all sarcomas and surgeons should always be aware of the possibility of malignancy when removing a tumor.

AB - BACKGROUND AND METHODS: Unplanned excision of sarcoma before referral to specialist centers can affect prognosis and surgical outcome. The diagnostic pathway of these patients is uncertain and needs to be reviewed. We aimed to describe patient and tumor characteristics, initial symptoms, initial and final diagnosis, and explore reasons for unplanned excision in this patient group. From a previous study on 258 sarcoma patients, we identified 64 patients referred after surgery. Medical records were reviewed.RESULTS: The majority were soft tissue sarcomas, most often with thoracic location. Leiomyosarcoma was the most frequent final diagnosis, lipoma, and fibroma/dermatofibroma the most frequent initial diagnoses. Fifty percent were superficial small tumors, and 60.9% had not received diagnostic imaging before surgery. Fifty percent were referred from public surgical departments, and 1/3 from private specialists. Twenty-three patients had initial presence of alarm symptoms registered before surgery, the remaining 2/3 fell outside referral criteria or alarm symptoms were not discovered.CONCLUSIONS: Patients referred after unplanned excision often have small superficial tumors and the majority fall outside of defined referral criteria. Referral criteria are not a guarantee for detection of all sarcomas and surgeons should always be aware of the possibility of malignancy when removing a tumor.

KW - Adult

KW - Aged

KW - Denmark

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Neoplasm Recurrence, Local

KW - Prognosis

KW - Referral and Consultation

KW - Sarcoma

KW - Soft Tissue Neoplasms

KW - Journal Article

U2 - 10.1002/jso.24137

DO - 10.1002/jso.24137

M3 - Journal article

C2 - 26776152

VL - 113

SP - 235

EP - 239

JO - Journal of Surgical Oncology

JF - Journal of Surgical Oncology

SN - 0022-4790

IS - 2

ER -