SARCOMES DES TISSUS MOUS : CARACTERISTIQUES ET PRISE EN CHARGE DANS UN SERVICE DE CHIRURGIE GENERALE DU CHU DU POINT G DE BAMAKO.

Abstract

Abstract: Introduction: Soft tissue sarcomas constitute a heterogeneous group of rare tumors, originating from mesenchymal tissue, developing at the expense of extra skeletal connective tissues, the management of which is complex and the prognosis severe. The aim of this study was to describe the characteristics and management of soft tissue sarcomas in a general surgery department in Bamako in 2019. Methods: This was a retrospective file review of 9 years of activity from 2008 to 2016 targeting soft tissue sarcomas which resulted in 37 cases. The eligibility criteria were age greater than 12 years, histological evidence of soft tissue sarcoma. The parameters describing the epidemiological, clinical, histological and therapeutic characteristics were analyzed. Results: There were 25 men and 12 women aged 46 years on average whose lesion presented in the form of a swelling in 97.3% of cases, mainly located on the limbs in 86.4%, metastatic in the time of diagnosis in 32.4%. Fibrosarcoma and rhabdomyosarcoma were the most common histologic subtypes in 40.5% and 37.8%, respectively. Surgical treatment was initiated in 78.4% with a resection rate of 27%. The consequences were marked by 9 cases of recurrence and 7 deaths. Conclusion: Any soft tissue tumor should be considered a sarcoma until proven otherwise and treated as such. When complete resection is not possible, it is better to abstain and resort to nonsurgical means as a palliative. Keywords: Soft tissue sarcoma, epidemiology, histological types, prognosis.