I have small bumps on my limbs and trunk.
Is it still painful, red and swollen?
Beware that soft tissue sarcoma is the cause!
Compared with common high-incidence tumors,
sarcoma is a " niche " tumor.
is so rare that it is often called the "forgotten cancer".
Its incidence only accounts for 1% of all malignant tumors. 1%.
However, there are various pathological subtypes of sarcoma.
Some subtypes are highly malignant and prone to recurrence,
have poor prognosis and high mortality.
need to attract our attention.
July 4th is International Sarcoma Awareness Day.
Director and Chief Physician of the Bone and Soft Tissue Department of Henan Cancer Hospital, Yao Weitao will popularize science for everyone.
Early detection and joint fight against sarcoma.
What is soft tissue sarcoma?
Director Yao Weitao introduced that what everyone calls "sarcoma" is a general term for a type of malignant disease originating from mesenchymal tissue or connective tissue . There are more than 70 subtypes of sarcomas, mainly soft tissue sarcomas (more than 50 subtypes) and malignant bone tumors (more than 20 subtypes), the most common of which is osteosarcoma.
Osteosarcoma is a common primary malignant bone tumor in adolescents. It is more common between the ages of 10 and 25 and mainly occurs in the lower limbs, especially around the knee joint. Some early symptoms of osteosarcoma are easily ignored. When symptoms appear, most are already in the middle stage, and some are even in the late stage. Early detection and diagnosis are directly related to whether limbs and limb functions can be preserved, and have a great relationship with improving the cure rate. (Click here to read more about osteosarcoma when your child yells “leg hurts.” Parents must be careful! Don’t let this “bad guy” take away your child’s health.)
Our protagonist today: soft tissue sarcoma, is a malignant tumor derived from fat, fascia, muscle, fiber, lymph and blood vessels and other tissues. The incidence rate is about 1/100,000, and it can occur in any part, about 75% The lesions are located in the limbs (most commonly in the thighs) and buttocks, with undifferentiated pleomorphic sarcoma, liposarcoma and synovial sarcoma being the most common; 20% to 25% are located in the retroperitoneum or abdominal cavity.
Soft tissue sarcomas can occur in people of any age, with slightly more men than women. Rhabdomyosarcoma tends to occur in children, pleomorphic rhabdomyosarcoma mostly occurs in the trunk of adults, synovial sarcoma often occurs in young and middle-aged people, and undifferentiated pleomorphic sarcoma, liposarcoma, malignant peripheral nerve sheath tumor and leiomyosarcoma It is more common in middle-aged and elderly people.
Is the "little bump" a soft tissue sarcoma?
Although soft tissue sarcoma is "low-key", there are still traces. The early signs of its onset are usually the growth of "small bumps" on the limbs, trunk and body surface. We can make a preliminary judgment based on the location, size, texture, activity, growth rate, etc. of the "little pimple".
If the touch mobility is good, the texture is relatively soft, the growth is relatively slow, and there are often no local symptoms such as pain and soreness, then consider benign tumors.
Yao Weitao reminded that not all small bumps are sarcomas, but early detection is crucial for sarcomas.You should be wary of external "small bumps" that continue to grow or are accompanied by clinical symptoms, that is, pain, redness and swelling in the limbs. You should go to the bone and soft tissue department of a regular hospital for examination in time. Generally, retroperitoneal bumps with a diameter less than 5cm are Sarcomas can be found under abdominal ultrasound.
The only reliable way to determine whether a tumor is good or bad is tissue biopsy ( puncture biopsy is preferred), obtain a pathological diagnosis, and complete the staging diagnosis and classification diagnosis of sarcoma.
Can soft tissue sarcoma be "put to rest"?
There are 19 tissue types and more than 50 different subtypes of soft tissue sarcoma. Different types require different treatment plans.
The current main treatments include surgery, radiotherapy and medical treatment. In addition, molecular targeted treatment can also be used.
When soft tissue sarcoma is suspected, don’t just “let it go” and go to a cancer specialist hospital first. After imaging examination, puncture biopsy is used to identify the "good and evil" of the mass, distinguish different pathological classifications, and achieve good results by "treating the patient according to the symptoms".
Standardizing the first diagnosis and treatment is very important
Yao Weitao reminded that the standardization of the first treatment will greatly reduce the risk of recurrence and metastasis of soft tissue sarcoma, and is of very important significance for the treatment of soft tissue sarcoma.
In June 2020, Henan Provincial Cancer Hospital established the province's first professional bone and soft tissue tumor MDT, which consists of the bone and soft tissue department, general surgery department, urology department, radiotherapy department, Chinese and Western medicine department, hematology department, Experts from multiple disciplines such as the Immunotherapy Department, Medical Imaging Department, and Clinical Pathology Center work together to provide standardized and individual diagnosis and treatment plans for patients with bone and soft tissue tumors, effectively improve the survival prognosis of patients with bone and soft tissue tumors, and strive to improve the bone and bone disease in Henan Province. Standardized diagnosis and treatment level of soft tissue tumors.
Expert introduction
Yao Weitao
Director of the Bone and Soft Tissue Department
Chief physician, MD, postdoctoral fellow, secretary of the Bone and Soft Tissue Tumor Professional Committee of the Henan Anti-Cancer Association, member of the Orthopedic Youth Committee of the Henan Medical Association, and bone Member of the Porosis Committee, Pediatric Bone Member of the scientific committee. Mainly engaged in clinical and scientific research on bone and soft tissue tumors, and has undertaken and participated in more than 10 projects at the military, provincial and municipal levels. He has published more than 40 clinical and scientific research papers, including 7 SCI papers, 2 Chinese series papers, and more than 30 national-level papers. Apply for 1 patent. Won 1 first prize and 1 second prize of Henan Provincial Health Science and Technology Achievement Award.
Clinic time: Monday all day
