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          VOLUME 34 / ISSUE 4

The Journal is Indexed in

4 - Soft Tissue Sarcoma In Adolescents And Young Adults Our ClimcalResults

Alpaslan Mayadağlı, Mehtap Dalkılıç Çalış, Oktay İncekara

Purpose: The soft tissue sarcomas in young adults havt different characteristics than those in children in terms o localization, histological type and response to theraphy Currently radiotheraphy has a secure place in the standar treatment of soft tissue sarcomas. The role of chemotheraph is being questioned to prevent micrometastases and contro métastasés. This study evaluates retrospectively those patient, diagnosed with adolescent and young adult soft tissui sarcomas who applied to our clinic between 1990-1998.

Rationale And Method: Between 1990-1998, 41 patients aged 15-30, with soft tissue sarcoma diagnosis applied t< our clinic. 25 were male and 16 were female (Men/Women 1,6) 8 patients had fibrosarcoma (20%), 7 hat leiomyosarcoma ( 17%) and 6 had rhabdomyosarcoma. (15% The most frequent tumor localization was the lower extremit (13 patients, 32%). The mean tumor diameter was 9.5 err, 16 patients were at stage 4 (39%) and 14 were at stage . (34%). Lung metastasis was the most frequent one. 38 patient (93%) received systemic chemotherapy and 26 (63%) receive radiotheraphy. The average survival period was 31 month, and the 2-year survival rate was 46%.

Results: The factors effecting survival were: stage, grade tumor diameter, extremity localization, metastasectomy an negative surgery limit status.

Keywords: Soft tissue sarcoma, adolescent and young adult surgery, radiotherapy, chemotherapy

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