ABSTRACT
KEY POINTS ⢠Synovial sarcomas are often mistreated with unplanned tumor resection. ⢠Attention from specialists early in the course of SS can minimize the risk of recurrence, metastases, and the necessity for resurgery, all of which are increased with unplanned tumor resection. ⢠Chemotherapy alone does not provide sufficient local control of the tumor. ⢠Resurgery, in conjunction with radiotherapy and chemotherapy, is the best choice of management for this patient.
Subject(s)
Antineoplastic Agents/standards , Neoplasm Recurrence, Local/drug therapy , Neoplasm Recurrence, Local/surgery , Pediatrics/standards , Practice Guidelines as Topic , Radiotherapy, Adjuvant/standards , Sarcoma, Synovial/drug therapy , Sarcoma, Synovial/surgery , Antineoplastic Agents/therapeutic use , Armenia , Child , Female , Humans , Neoplasm Recurrence, Local/prevention & control , Treatment OutcomeABSTRACT
Cancer is the second leading cause of death in Armenia. Over the past two decades, the country has seen a significant rise in cancer morbidity and mortality. This review aims to provide up-to-date info about the state of cancer control in Armenia and identify priority areas of research. The paper analyzes published literature and local and international statistical reports on Armenia and similar countries to put numbers into context. While cancer detection, diagnosis, and treatment are improving, the prevalence of risk factors is still quite high and smoking is widespread. Early detection rates are low and several important screening programs are absent. Diagnosis and treatment methods are not standardized; there is a lack of treatment accessibility due to insufficient government coverage and limited availability of essential medicines. Overall, there is room for improvement in this sector, as research is limited and multidisciplinary approaches to the topic are rare.