[Surgical margins in soft tissue XXXX ].

@entity5 @entity242
OBJECTIVES: To state about adequacy of surgery margins in soft tissue @entity242 (STS). METHODS: Review of the relevant literature. RESULTS: The end point for measuring the quality of margins in STS is local recurrence (LR). The rate of LR in specialised centres lies between 16 and 22%. The rates of LR should be given by the actuarial estimations. The methods determining margins are variable in the literature. By the quantitative methods, measuring the distance between the @entity5 edge and the limits of resection on the excision specimen, a twofold difference in LR is seen between adequate and inadequate margins. This difference is fourfold by the qualitative, consensual method from the @entity242 Group, appearing here more discriminatory. Obtaining adequate margins depends on the planned character of surgery, @entity5 size, @entity5 infiltration and grade. CONCLUSION: An actuarial 5-year LR rate ranging from 10 to 20% is a criterion for good quality of surgery. These results appear to be obtained best in specialised centres.
