Critical elements of pediatric rhabdomyosarcoma surgery.
Semin Pediatr Surg
; 32(5): 151341, 2023 Oct.
Article
in En
| MEDLINE
| ID: mdl-38042091
ABSTRACT
Rhabdomyosarcoma (RMS), the most common soft tissue sarcoma in children, requires multimodal therapy which is determined by risk group stratification. Local control may be achieved by surgical resection, radiation, or both. Resection may occur upfront or following induction chemotherapy as a delayed primary excision. An R1 resection may allow a reduction in radiation exposure; however, debulking is not indicated nor is excision of residual masses at the end of therapy. Regional lymph node assessment is an important component of surgical care, as positive nodal basins require radiation. Depending on the tumor site and biology, sentinel lymph node biopsy vs biopsy of clinically or radiographically concerning nodes is indicated. Therapeutic lymph node dissection is never indicated. Familiarity with site-specific oncologic principles for RMS and participation in a multidisciplinary team including Pediatric Oncology and Radiation Oncology are necessary components of surgical care to ensure optimal outcomes.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Rhabdomyosarcoma
/
Sarcoma
/
Soft Tissue Neoplasms
Limits:
Child
/
Humans
Language:
En
Journal:
Semin Pediatr Surg
Journal subject:
PEDIATRIA
Year:
2023
Document type:
Article
Affiliation country: