Soft tissue sarcomas

Sarcomas de partes blandas

Purriel, Juan A - Guzmán, P

Resumen:

Sarcomas of soft parts are defined as malignant tumors arising in the tissues between dermis and periosteum and covering the. skeleton of the trunk andlimbs. Generally these neoplasias are mesodermic in origin with the exception of tumors in peripheral nerve sheaths which are of neuroectodermic origin. The multipotential character of mesenchymatose cell determine that these tumors present marked structural complexity, thus making histogenetic diagnosis difficult. On the other hand, no other tumoral origin shows so evidently -the relative character of histological malignancy, and consequently we have found convenient to est.ablish three. degrees (local, regional andgeneral) of malignancy according to morphologic and evolutive characteristics of each tumoral type. We propase a histogenetic classification which comprises ali tumoral forros with their histopathological and biological characteristics; we insist, above ali, in fibroblastic tumors, where discordancy is often found between morphologic and evolutive characteristics.Finally we study a series of 20 cases of sarcomas of soft parts, their frequency and evolution pre and post-treatment. Even though this sample has little significance, incomparing it with Stout's broader series, ( 1953) their was marked similarity in their generalcharacteristics.


Definimos los Sarcomas de Partes Blandas como los tumores malignos provenientes de los tejidos comprendidos entre el dermis y el periostio que recubrenel esqueleto del tronco y las extremidades. La mayoría de estas neoplasias son de origen mesodérmico, salvo los tumores de las vainas de los nerviosperiféricos que son de estirpe neuroectodérmica. Dado el carácter multipotencial de la célula mesenquimatosa, estos tumores muestran una complejidadestructural marcada que dificulta el diagnóstico histogenético. Por otra parte en ninguna otra estirpe tumoral se da con tanta evidencia el carácter relativo de la malignidad histológica, por eso creímos conveniente establecer 3 grados de malignidad (local, regional, general) establecidas según las características morfológicas y las modalidades evolutivas de cada tipotumoral. Proponemos una clasificación histogenética que engloba todas las formas tumorales con sus caracteres histopatológicos y biológicos, insistiendo sobre. todo enlos tumores fibroblásticos donde se presentan con mayor frecuencia los problemas de discordancia entre los caracteres morfológicos y evolutivos. Por último analizamos una serie de 20 casos de sarcomas de partes blandas, considerando su frecuencia y su evolución previa y posterior al tratamiento. A pesar de ser una muestra poco significativa, al compararlacon la serie más amplia de Stout (1953) se pudo apreciar la concordancia de sus caracteres generales.


Detalles Bibliográficos
1973
sarcoma
tumores
partes blandas
sarcoma
tumors
soft tissue
Español
Sociedad de Cirugía del Uruguay
Revista Cirugía del Uruguay
https://revista.scu.org.uy/index.php/cir_urug/article/view/2432
Acceso abierto
Resumen:
Sumario:Sarcomas of soft parts are defined as malignant tumors arising in the tissues between dermis and periosteum and covering the. skeleton of the trunk andlimbs. Generally these neoplasias are mesodermic in origin with the exception of tumors in peripheral nerve sheaths which are of neuroectodermic origin. The multipotential character of mesenchymatose cell determine that these tumors present marked structural complexity, thus making histogenetic diagnosis difficult. On the other hand, no other tumoral origin shows so evidently -the relative character of histological malignancy, and consequently we have found convenient to est.ablish three. degrees (local, regional andgeneral) of malignancy according to morphologic and evolutive characteristics of each tumoral type. We propase a histogenetic classification which comprises ali tumoral forros with their histopathological and biological characteristics; we insist, above ali, in fibroblastic tumors, where discordancy is often found between morphologic and evolutive characteristics.Finally we study a series of 20 cases of sarcomas of soft parts, their frequency and evolution pre and post-treatment. Even though this sample has little significance, incomparing it with Stout's broader series, ( 1953) their was marked similarity in their generalcharacteristics.