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What are the appropriate imaging modalities for detecting local recurrence and metastatic disease following surgery for extremity soft tissue sarcoma?
What are the appropriate imaging modalities for detecting local recurrence and metastatic disease following surgery for extremity soft tissue sarcoma?
This review outlines the role of various imaging modalities and suggests a robust pathway for the follow-up of patients with extremity soft tissue sarcoma to promptly detect recurrence.
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May inform post-resection imaging surveillance in extremity soft tissue sarcoma; leaves open prospective validation of suggested pathways.
Soft tissue sarcomas are uncommon malignancies that have a high risk of local recurrence despite adequate initial surgery. The aim of follow-up imaging with any malignancy is to detect recurrence promptly so that treatment can be instigated at the earliest possible opportunity. In this review article, we discuss the imaging modalities that can be employed to detect local recurrence following surgery for an extremity soft tissue sarcoma. The role of radiographs, computed tomography, magnetic resonance imaging and positron emission tomography is reviewed followed by a discussion on the imaging modalities useful in the detection of metastatic disease. Finally, we present a robust pathway that is suggested for the follow-up of patients with an extremity soft tissue sarcoma.
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S.L. James (2008) studied this question.
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