Soft Tissue Sarcoma - Clinical Scenario

A patient with a growing sternal mass, initially thought to be a lipoma, is diagnosed with undifferentiated pleomorphic sarcoma. Management includes staging, wide local excision, and possible radiotherapy. Reconstruction options involve pectoralis major or free ALT flap for the sternal defect.
Soft Tissue Sarcoma - Clinical Scenario

Clinical Scenario

A 55-year-old male presents with a progressively enlarging subcutaneous swelling located at the midline of the sternum, which has been increasing in size over the past year. The patient previously consulted a healthcare provider and was informed that the mass was likely a lipoma, with no follow-up recommended. Due to persistent growth, the patient has become increasingly concerned and is seeking further evaluation.

Objectives:

  1. Outline the assessment of a patient presenting with a suspicious swelling on the trunk.
  2. Detail the diagnosis and staging of soft tissue sarcomas.
  3. Discuss the management of soft tissue sarcomas.
  4. Discuss the reconstructive options for large sternal defects.
  5. Discuss complications and follow-up in the management of soft tissue sarcomas.



Primary Contributor: Dr Kurt Lee Chircop, Educational Fellow.
Reviewer: Dr Waruguru Wanjau, Educational Fellow.

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