Abstract
Clinical Vignette: A 50-year-old woman presents to the emergency department with increasing abdominal pain. Abdominal computed tomography imaging reveals an expanded inferior vena cava-filling defect that is suspicious for a retroperitoneal sarcoma, possibly a primary leiomyosarcoma of the inferior vena cava. The surgery team discusses the case with the radiologist, and all agree that there are multiple challenges with obtaining a tissue diagnosis and determining resectability. Thus, it is decided that this patient should be discussed at a multidisciplinary case conference. In the present article, we feature a case-based scenario focusing on the role of the radiologist in this type of multidisciplinary team.
Highlights
Multidisciplinary case conferences are a growing area of physician collaboration designed to allow for evidence-based and patient-centred management in specialized cases
Radiologists play an important role in the detection of acute and long-term complications
Acute postoperative complications vary depending on the site of the sarcoma and the resection that was performed
Summary
Multidisciplinary case conferences (mccs) are a growing area of physician collaboration designed to allow for evidence-based and patient-centred management in specialized cases. Key Words Multidisciplinary case conferences, tumour boards, cancer management, retroperitoneal soft-tissue sarcomas, value of radiology In 2009, Cancer Care Ontario recommended that all patients diagnosed with sarcoma be reviewed at a mcc and that treatment be supervised by an experienced multidisciplinary sarcoma team in a specialized centre[3,4].
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