Tratamiento quirúrgico de los tumores de la pared abdominal

Abstract

Surgical removal is the cornerstone of treatment of tumours of the abdominal wall. Radiation therapy can be very helpful in reducing tumour volume and make them accessible to surgery and adjuvant treatment for tumours at high risk of recurrence or suboptimal surgery. Excision type vary depending on the type of tumour. Thus, a simple excision for benign tumours will suffice. In case of tumours of intermediate malignancy (metastasis but little capacity at high risk of local relapse) surgery will adapt to it; going from a wide desmoid tumour surgery for a Mohs micrographic surgery for dermatofibrosarcoma protuberans and one compartment radical surgery with reconstruction of the wall for soft tissue sarcoma. Metastases in the abdominal wall are treated in the same way as sarcomas. In any case for the success of any intervention it is critical to achieve tumour-free surgical margins, along with acceptable aesthetics and functionality.