Cutaneous soft tissue sarcomas: survival-related factors

Areti Gkantaifi, Alexandros Diamantis, Davide Mauri, Ioanna Nixon, Anastassios Kyriazoglou, Ioannis Baloyiannis, Nikolaos Tsoukalas, Nikolaos Charalampakis, Dimitrios Schizas, Francesco Cuccia, Filippo Alongi, Ramon Andrade de Mello, George Iliadis, Konstantinos Kamposioras, Michalis Mazonakis, Maria Tolia

Research output: Contribution to journalReview articlepeer-review

4 Citations (Scopus)

Abstract

Cutaneous sarcomas are a heterogeneous group of rare mesenchymal neoplasms representing less than 1% of malignant tumors. Histology report remains the cornerstone for the diagnosis of these tumors. The most important clinicopathologic parameters related to prognosis include larger tumor size, high mitotic index, head and neck location, p53 mutations, depth of infiltration and histological grade, vascular and perineural invasion as well as the surgical margins status. Applying advanced biopsy techniques might offer more precise assessment of surgical margins, which constitutes a significant precondition for the management of these tumors. The management of cutaneous soft tissue sarcomas requires a multidisciplinary approach. Surgery remains the standard treatment, nonetheless adjuvant therapy may be required, consisting of radiotherapy, chemotherapy, and molecular targeted therapies to improve treatment outcomes. The role of molecular profiling in the treatment of uncontrolled disease is promising, but it may be offered to a relatively small proportion of patients and its use is still considered experimental in this setting. Due to the rarity of the disease, there is a need for knowledge and experience to be shared, pooled, organized and rationalized so that recent developments in medical science can have a major impact on the disease course. Multicenter clinical trials are needed to improve the care of patients with cutaneous sarcomas.

Original languageEnglish
Number of pages7
JournalArchives of Dermatological Research
DOIs
Publication statusPublished - 17 Jul 2021

Keywords

  • biopsy
  • cutaneous
  • factors
  • recurrence
  • sarcomas
  • survival
  • treatment

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