XXXX : grade and survival.

@entity1 @entity5 @entity242 @entity66
BACKGROUND: The survival of @entity1 with @entity242 depends on the feasibility of complete resection and the grade of the @entity5 . HYPOTHESIS: A high rate of complete resection, wide rather than local excision when feasible, and a policy of prompt reoperation for local recurrence all improve survival. METHODS: A review of 130 consecutive @entity1 with @entity242 (1977-2001). RESULTS: The complete resectability rate was 95%, being 99% (78/79) for the @entity5 and 90% (46/51) for @entity5 referred with local recurrence. Local recurrence after complete resection occurred in 41% (32/79) of those with @entity5 and in 61% (31/51) of those referred with local recurrence (P =.06). The local recurrence rate was 63% after local excision and 39% after wide resection (P =.02). Of 83 @entity1 with relapse, 37 (45%) were rendered @entity66 free. The estimated 5-year (10-year in parentheses) survival from the first surgery at our center was 65% (56%) for @entity1 with @entity5 and 53% (34%) for @entity1 referred with local recurrence (P =.23). For the @entity5 , the 5- and 10-year survival rates were 70% and 60%, respectively, after wide resection and 47% and 39%, respectively, after local excision (P =.04). For the @entity5 , the 5-year survival was 92%, 54%, and 48% for grades I, II, and III, respectively (P =.02). For those referred with local recurrence, the figures were 76%, 45%, and 19% for grades I, II, and III, respectively (P<.001). CONCLUSIONS: A high resectability rate (95%) is possible in @entity242 . The survival estimates are similar to those following resection of extremity soft tissue @entity242 given an effective reoperation policy for local recurrences. Wide resection lowers the local recurrence and improves survival significantly. Survival varies significantly according to the grade of the @entity5 .
