Sarcoma Latest Topicshttps://pediatricsurgeryclub.com/forum/214-sarcoma/Sarcoma Latest Topicsen20/10/2024https://pediatricsurgeryclub.com/topic/3256-20102024/An 11 year old child is referred by dermatology for surgical removal of a lesion on the left side of the back pictured below. The family reports that the child had a lesion in the area since birth. They note that it appears that a second lesion has developed over the last year. This lesion has become more nodular in appearance with time. The dermatologist had performed a punch biopsy that showed a spindle cell neoplasm with irregular spindle cells filling the reticular dermis that stained positive for CD34. What is the best next step in the management of this child?

 

[center]repview.jpg.87aa7bc2af08dd62be1e578d4a0a63b7.jpg[/center]

 

 

[size=20px]a Observation

 

b Excisional biopsy with no margin

 

c Wide local excision

 

d Wide local excision, sentinal lymph node biopsy

 

e Ultrasound of the lesion Discussion

 

 

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]]>3256Sun, 20 Oct 2024 11:44:41 +00003/3/2024https://pediatricsurgeryclub.com/topic/3127-332024/[size=20px]A 8 year old boy presents with a solid 15 cm retroperitoneal extrarenal mass that appears to encase the right ureter and involve the inferior vena cava. Which of the following regarding retroperitoneal sarcomas is true?

 

A there is no role for resection and reconstruction of the ureter or major vascular structures

 

B liposarcoma is the most common histologic type

 

C involvement of adjacent organs at the time of presentation is rare

 

D initial complete resection carries a 50% recurrence rate

 

E exploration with an attempt at primary resection should be performed[/size]

]]>3127Sun, 03 Mar 2024 13:02:53 +0000impact of fusion status in Rhabdomyosarcomahttps://pediatricsurgeryclub.com/topic/3103-impact-of-fusion-status-in-rhabdomyosarcoma/repview.jpg.e8d84c7f5e9a174da34d7b702dbe96d0.jpg]]>3103Sun, 04 Feb 2024 13:04:40 +0000Indications of retro peritoneal LN dissection in Rabdomyosarcomahttps://pediatricsurgeryclub.com/topic/3086-indications-of-retro-peritoneal-ln-dissection-in-rabdomyosarcoma/2CA84681-771A-47FD-9B1B-C6BD28FB9772.jpg.854a634b7500222afdf31d6ebf41d88d.jpg]]>3086Tue, 02 Jan 2024 14:48:16 +000015/5/2022https://pediatricsurgeryclub.com/topic/2731-1552022/[size=20px]A 8-year old boy is referred to you with a suspected inguinal hernia. Instead, on palpation of the scrotum you suspect a paratesticular mass. There are no enlarged lymph nodes palpable in the inguinal canal or on computerized tomography imaging of the abdomen and pelvis. For this patient with a paratesticular mass you recommend

 

A transscrotal needle biopsy.

 

B transscrotal open biopsy and sentinel lymph node sampling of inguinal nodes.

 

C inguinal open biopsy.

 

D inguinal open biopsy and sentinel lymph node sampling of inguinal nodes.

 

E inguinal open biopsy and ipsilateral retroperitoneal lymph node dissection.[/size]

]]>2731Sun, 15 May 2022 14:51:44 +0000Biopsy for soft tissue sarcomas, principles for planning a biopsy per locationshttps://pediatricsurgeryclub.com/topic/2426-biopsy-for-soft-tissue-sarcomas-principles-for-planning-a-biopsy-per-locations/2021-10-08_06-51-42.jpg.cb7cbba716b787f485c2c1636deeb3df.jpg]]>2426Fri, 08 Oct 2021 03:55:10 +0000