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Management of Soft Tissue Sarcoma after Microsurgery

Atul Jain

Sarcoma is a tumor of mesenchymal origin with great variation in anatomical location. Sarcoma affecting bone often requires an interdisciplinary approach to resection and reconstruction. However, as limb salvage is only a secondary goal of tumor surgery, it is important that micro reconstruction strategies do not adversely affect tumor safety and overall survival. There is a high demand for safe and functional treatment of soft tissue and bone sarcomas. Primary reconstruction of sarcoma-related defects using microsurgical techniques allows limb-sparing and adequate oncosurgical cancer treatment without increasing the risk of local recurrence or prolonged hospitalization. Treatment of sarcoma patients should be limited to large centers with experienced plastic surgeons integrated into a holistic treatment concept.