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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 12,
1647-1651.
doi: 10.1302/0301-620X.88B12.17964 Copyright © 2006 by British Editorial Society of Bone and Joint Surgery Liposarcoma in adult limbs treated by limb-sparing surgery and adjuvant radiotherapyJ. Issakov, MD, Head of Unit of Musculoskeletal Pathology1; V. Soyfer, MD, Radiation and Medical Oncologist2; Y. Kollender, MD, Orthopaedic Surgeon3; J. Bickels, MD, Orthopaedic Surgeon3; I. Meller, MD, Professor, Head of National Unit of Orthopaedic Oncology3; and O. Merimsky, MD, Professor, Head of Unit of Bone and Soft Tissue Oncology4
1 Department of Pathology Correspondence should be sent to Professor O. Merimsky; e-mail: oferm{at}tasmc.health.gov.il
Between December 1995 and March 2003, 38 adult patients with intermediate or high-grade liposarcoma in a limb were treated by limb-sparing surgery and post-operative radiotherapy. The ten-year local recurrence-free survival was 83%, the ten-year metastasis-free survival 61%, the ten-year disease-free survival 51% and the ten-year overall survival 67%. Analysis of failure and success showed no association with the age of the patients, gender, the location of the primary tumour, the type of liposarcoma and the quality of resection. Our results indicate that liposarcoma may recur even ten years after the end of definitive therapy and may spread to unexpected sites as for soft-tissue sarcoma.
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