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The Importance of a Multi-Disciplinary Approach for Managing the Soft-tissue Sarcomas of Extremities:A Practical Case from the Sarcoma Team of CHU HASSAN II, Fez

Mazti Asmae^1*, El Koubaiti Ghizlane², El Idrissi Mohamed³, El Ibrahimi Abdelhalim³, EL Maaroufi Mustapha⁴, El Fakir Samira⁵, Arifi Samia⁶, Bouhafa Touria⁷, Mrini Abdelmajid³ and Chbani Laila¹

¹Department of Anatomopathology, Hassan II University Hospital, Fez, Morocco

²Medical Center of Biomedical and Translational Research, Hassan II University Hospital, Fez, Morocco

³Department of Traumatology and Orthopedics, Hassan II University Hospital, Fez, Morocco

⁴Department of Radiology, Hassan II University Hospital, Fez, Morocco

⁵Laboratory of Epidemiology, Faculty of Medicine and Pharmacy, Fez, Morocco

⁶Department of Oncology, Hassan II University Hospital, Fez, Morocco

⁷Department of radiotherapy, Hassan II University Hospital, Fez, Morocco

Received Date: Mar 16, 2020 / Accepted Date: May 04, 2020 / Published Date: May 11, 2020

Citation: Asmae M, Ghizlane EK, Mohamed EI, Abdelhalim EI, Maaroufi Mustapha EL, et al. (2020) The Importance of a Multi-Disciplinary Approach for Managing the Soft-tissue Sarcomas of Extremities: A Practical Case from the Sarcoma Team of CHU HASSAN II, Fez. J Oncol Res Treat 5: 145.

Copyright: © 2020 Asmae M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Introduction: Soft tissue sarcomas are malignant tumors that require management in specialized centers. The aim of our study is to evaluate the benefit of the multidisciplinary meeting (RCM) on the management of these tumors.

Materials and methods: It is a prospective study, which is conducted in the HASSAN II University Hospital Center in Fez. This research project has lasted for a period of 28 months.

Results: ninety-seven (97) cases were selected, the average age was 52 years. The lower limb is the most frequent site (77%) with deep localization in 92.8% of cases. Eighty-two patients (88%) have had a prior biopsy. Seventy-three patients (75.3%) have received MRI before surgery. Fifty-six patients were operated, with R0 resection in 34 patients, R1 in 16 patients and R2 in 6 patients. Liposarcomas were the most frequent (26.5%), followed by synovialosarcomas (14.4%), leiomyosarcomas (10.3%) and undifferentiated pleomorphic sarcomas (10.3%). Neoadjuvant chemotherapy was indicated in 30 patients. Adjuvant chemotherapy or radiotherapy was indicated in 22 patients. The overall survival rate was 15.19 months, with a significant improvement in survival in patients with multidisciplinary management.

Conclusion: The presented data are similar to the literature one with respect to the interest of multidisciplinary management of soft tissue sarcomas, specifically on the prognosis and survival of patients.

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