Clinical Outcomes of Soft Tissue Sarcoma around the Elbow Joint: A Retrospective Single Institution Study

Edelyn S Azurin; Norio Yamamoto; Katsuhiro Hayashi; Akihiko Takeuchi; Kaoru Tada; Shinji Miwa; Kentaro Igarashi; Takashi Higuchi; Hirotaka Yonezawa; Sei Morinaga; Yohei Asano; Shiro Saito; Hiroyuki Tsuchiya

doi:10.1155/2022/1087726

Clinical Outcomes of Soft Tissue Sarcoma around the Elbow Joint: A Retrospective Single Institution Study

Sarcoma. 2022 Dec 17:2022:1087726. doi: 10.1155/2022/1087726. eCollection 2022.

Authors

Affiliations

¹ Department of Orthopedic Surgery, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.
² Department of Orthopedics, Jose B. Lingad Memorial General Hospital, San Fernando, Pampanga, Philippines.

Abstract

Background: We report a retrospective case series analysis of clinical outcomes of patients with soft tissue sarcoma around the elbow.

Methods: Twenty-two patients underwent surgical tumor excision between January 1999 and May 2017, with a mean follow-up of 85.2 months.

Results: Six tumors were localized in the upper arm, nine in the elbow, and seven in the forearm. Sixteen tumors were deep-seated, and six were superficially located. Fifteen patients underwent wide excision, including one amputation, and 18 achieved (81.8%) negative margins histologically. Two local recurrences and four distant metastases developed. The mean Musculoskeletal Tumor Society score was 92.0% (range, 33.3-100). The 5-year local recurrence-free survival rate, metastasis-free survival rate, and overall survival rate were 90.0%, 77.0%, and 79.7%, respectively.

Conclusions: Local control and limb function can have favorable outcomes when the tumor excised has a histologically negative margin without sacrificing the major structure.