[The influence of @entity41 on local recurrence after unplanned resection of soft tissue XXXX ].

@entity1 @entity41 @entity242 @entity5 @entity8650
BACKGROUND AND OBJECTIVE: The "unplanned" excision of a soft tissue @entity242 (STS) is defined as its resection without preoperative staging procedures and without aiming at wide resection margins owing to lacking knowledge of the @entity5 . Aim of this study was to evaluate the influence of such unplanned excisions, in spite of immediate re-excision, upon local recurrence. @entity1 AND METHODS: Results in 110 consecutive @entity1 were analysed. In all of them an unplanned resection of a STS of the limbs or trunk not achieving wide resection margins had been performed prior to referral. End-point of statistical analysis was local relapse. Median follow-up time was 82 months. RESULTS: @entity41 was found in 34 specimens of primary re-excisions (31 %). Local recurrence occurred in 14 @entity1 , 23 @entity1 developed distant metastases. Multivariate analysis revealed two significant prognostic factors for local recurrence: @entity41 in the re-excised specimen and occurrence of distant metastases. CONCLUSIONS: Presence of @entity41 in re-excised specimens is a prognostic factor for @entity5 relapse, is the development of distant metastases. @entity8650 should be excised after oncological regimens, preferably in experienced centers.
