Ondřej BELEJ, Drahomír PALENČÁR

Klinika plastickej, estetickej a rekonštrukčnej chirurgie LF UK, SZU a UNB, Bratislava, prednosta MUDr. D. Palenčár, PhD.

SUMMARY
This review article should elucidate to reader how to diagnose, manage and treat patients with hand and forearm sarcomas. Etiology, incidence, signs and symptoms, diagnostics, surgical and combined treatment as well as the postoperative observation will be discussed.
Patients with this disease are treated in specialized departments which can provide multidisciplinary discussed complex and proper treatment options. The combination of wide excision and adjuvant therapy in certain types of tumors decrease the risk of recurrence and development of metastatic spreading. In general wide excision was determined into 2 centimetres safe margins. In certain patients radical excision can vary according to histological type, grading, staging of the tumor, metastatic spreading risk, general condition of the patient, the risk and benefit consideration and to disease prognosis. The presence of soft tissue sarcoma in the limb is no longer an absolute indication for amputation.
Key words: hand and forearm sarcoma, needle biopsy, core- cut biopsy, imaging techniques, combined therapy, surgical therapy, radiochemotherapy, wide excision, regional lymph node metastasis, hand spare surgery and reconstruction.

Lek Obz (Med Horizon), 2020, 69 (1): 17 – 20