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by metastases. 39 The mainstay treatment is rigid surgical stabilisation because of a high incidence of nonunion and inadequate relief of pain with conservative treatment. 40 Although the upper extremities are not primarily weight
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, the time interval between the diagnosis of cancer and that of the metastases (more than three years), additional conservative treatments and type of surgery were also significant factors in cases with solitary metastases. 20 , 24 , 25 In another
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0167-8140(9601856-7 ) 9027935 23. Braschi EL Kharod SM Morris CG Spiguel AR Gibbs CP Scarborough MT & Zlotecki RA . Reirradiation in conservative salvage of recurrent soft-tissue sarcoma: an analysis of treatment efficacy and
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difficult to remedy. Where there is doubt after initial assessment, this should prompt referral to a specialized tumour centre, where an appropriate biopsy and pre-operative and reconstructive planning should take place prior to undertaking any treatment
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Wide resection and intralesional resection with curettage are two of the most common options for surgical treatment. When curettage is performed, local adjuvant therapies are often used to reduce the probability of a local recurrence, which is usually
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recommending chemotherapy for SS in adults, given that systemic treatment with the combination of doxorubicin and ifosfamide could reduce the risk of distant metastases and that preoperative chemotherapy could increase the probability of conservative resection
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) Immunohistochemical staining for SATB2, highlighting the large number of osteoblasts in this area. Note . MO, myositis ossificans; H&E, hematoxylin and eosin. Treatment A conservative approach is the treatment of choice, because MO is a self
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studies, conservative treatment, curettage and grafting, review articles), or studies not reporting on functional outcomes after surgery. The reviewers independently screened titles and abstracts of all identified studies. Studies were further included in
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past many of these patients then had no further treatment but there was a very high rate of local recurrence (up to 70%) and it is now far more common for these patients to be referred to a sarcoma unit for definitive management. 2 In 1994