The multidisciplinary management of bone and soft tissue sarcoma: an essential organizational framework

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Abstract

The rarity of bone and soft tissue sarcoma, the difficulty in interpretation of imaging and histology, the plethora of treatment modalities, and the complexity and intensity of the treatment contribute to the need for systematic multidisciplinary team management of patients with these diseases. An integrated multidisciplinary clinic and team with a structured sarcoma tumor board facilitate team coordination and communication. This paper reviews the rationale for multidisciplinary management of sarcoma and details the operational structure of the Multidisciplinary Sarcoma Clinic and Sarcoma Tumor Board. The structured Multidisciplinary Sarcoma Tumor Board provides opportunity for improvement in logistics, teaching, quality, and enrollment in clinical trials.

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Most cited references 13

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Bone cancer.

Steven J. Siegel, Alison O'Donnell, Hema Sundar … (2013)

Primary bone cancers are extremely rare neoplasms, accounting for fewer than 0.2% of all cancers. The evaluation and treatment of patients with bone cancers requires a multidisciplinary team of physicians, including musculoskeletal, medical, and radiation oncologists, and surgeons and radiologists with demonstrated expertise in the management of these tumors. Long-term surveillance and follow-up are necessary for the management of treatment late effects related to surgery, radiation therapy, and chemotherapy. These guidelines discuss the management of chordoma, giant cell tumor of the bone, and osteosarcoma.

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Multidisciplinary Management of Soft Tissue Sarcoma

Lukas M. Nystrom, Nickolas B. Reimer, John Reith … (2013)

Soft tissue sarcoma is a rare malignancy, with approximately 11,000 cases per year encountered in the United States. It is primarily encountered in adults but can affect patients of any age. There are many histologic subtypes and the malignancy can be low or high grade. Appropriate staging work up includes a physical exam, advanced imaging, and a carefully planned biopsy. This information is then used to guide the discussion of definitive treatment of the tumor which typically involves surgical resection with a negative margin in addition to neoadjuvant or adjuvant external beam radiation. Advances in imaging and radiation therapy have made limb salvage surgery the standard of care, with local control rates greater than 90% in most modern series. Currently, the role of chemotherapy is not well defined and this treatment is typically reserved for patients with metastatic or recurrent disease and for certain histologic subtypes. The goal of this paper is to review the current state of the art in multidisciplinary management of soft tissue sarcoma.

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Inadvertent surgical resection of soft tissue sarcomas.

M. Venkatesan, C.J. Richards, T.A. McCulloch … (2012)

The National Institute of Clinical Excellence (NICE) published Improving Outcome Guidance in 2006 defining urgent referral criteria for soft tissue sarcoma (STSs) with the twin aims of improving diagnostic accuracy and overall outcome. Despite these guidelines inadvertent excisions of soft tissue sarcomas continue to occur with alarming frequency, potentially compromising patient outcomes.

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Author and article information

Journal

Journal ID (nlm-ta): J Multidiscip Healthc

Journal ID (iso-abbrev): J Multidiscip Healthc

Journal ID (publisher-id): Journal of Multidisciplinary Healthcare

Title: Journal of Multidisciplinary Healthcare

Publisher: Dove Medical Press

ISSN (Electronic): 1178-2390

Publication date Collection: 2015

Publication date (Electronic): 19 February 2015

Volume: 8

Pages: 109-115

Affiliations

[1 ]Department of Orthopedics, University of Michigan, Ann Arbor, MI, USA

[2 ]Department of Medical Oncology, University of Michigan, Ann Arbor, MI, USA

[3 ]Department of Radiology, University of Michigan, Ann Arbor, MI, USA

[4 ]Department of Pathology, University of Michigan, Ann Arbor, MI, USA

[5 ]Department of Radiation, University of Michigan, Ann Arbor, MI, USA

[6 ]Department of Surgery, University of Michigan, Ann Arbor, MI, USA

[7 ]Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA

Author notes

Correspondence: J Sybil Biermann, Department of Orthopedics, University of Michigan, Cancer Center Floor B1 Reception C, 1500 E Medical Center Dr SPC 5912, Ann Arbor, MI 48109, USA, Tel +1 734 647 8902, Fax +1 734 647 8672, Email biermann@ 123456med.umich.edu

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Publisher ID: jmdh-8-109

DOI: 10.2147/JMDH.S49805

PMC ID: 4340372

PubMed ID: 25733913

SO-VID: fbf8bece-c236-4032-b519-d4e2d68f8904

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The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

The multidisciplinary management of bone and soft tissue sarcoma: an essential organizational framework

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Most cited references 13

Bone cancer.

Multidisciplinary Management of Soft Tissue Sarcoma

Inadvertent surgical resection of soft tissue sarcomas.

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