Soft Tissue Sarcomas: Ultrasonographic Evaluation of Local Recurrences

Arya, Supreeta; Nagarkatti, Durgesh G.; Dudhat, Sanjay B.; Nadkarni, Kanchan S.; Joshi, Mukund; Shinde, Shashank R.

doi:10.1053/crad.1999.0343

Cited by 43 publications

(17 citation statements)

References 9 publications

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“…It is cost-effective, widely available, and easy to perform, with high patient acceptability. In addition, it provides easy guidance for biopsy, and it may be useful for detecting suspected tumor recurrence in patients with implanted hardware in which artifact precludes other means of cross-sectional imaging [1,14,40]. Nevertheless, ultrasonography has not achieved a uniformly broad acceptance for evaluating the musculoskeletal system.…”

Section: Discussionmentioning

confidence: 99%

A 56-year-old Woman with a Right Arm Mass

Papagelopoulos¹,

Mavrogenis²,

Skarpidi

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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A 56-year-old woman was admitted for a 5-year history of a painless right arm mass. The patient denied any recent enlargement. However, over the previous 2 years, the patient complained of gradually increasing numbness at the thumb, index finger, and middle finger of the ipsilateral arm. There was no history of trauma. Medical and family history was unremarkable.Physical examination revealed a soft, oval, deep palpable mass on the medial side of her right arm with a maximum diameter of 4 cm (Fig. 1). Passive and active range of motion of the right elbow and hand were unaffected. Neurologic examination was normal. Routine laboratory analysis including complete blood cell count, serum chemistries, erythrocyte sedimentation rate, and C-reactive protein were within normal limits.We performed plain radiography ( Fig. 2), ultrasonography (Fig. 3), and MRI (Fig. 4).Based on the history, physical examination, laboratory tests, and imaging studies, what is the differential diagnosis? Imaging InterpretationA frontal radiograph of the right upper arm showed a cluster of rounded calcifications in the soft tissues along the medial aspect of the mid humerus. No underlying osseous abnormality was noted (Fig. 2).Ultrasonography of the right arm showed a well-defined oval mass with heterogeneous internal echogenicity. The mass was closely related to the median nerve. Doppler examination revealed a moderate degree of vascularity within the lesion (Fig. 3).MRI showed a fusiform lesion with well-circumscribed borders along the posteromedial aspect of the biceps. The lesion was intermuscular and centered along the expected course of the median nerve. The normal median nerve could not be identified as a distinct structure at this level. The lesion was heterogeneous and slightly hypointense to muscle on T1-weighted images (Fig. 4A-B) and heterogeneously hyperintense on T2-weighted images. On postcontrast T1-weighted images (Fig. 4C-D), the mass enhanced in fairly uniform fashion. Differential Diagnosis Hemangioma SchwannomaEach author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his or her institution has approved the reporting of this case and that all investigations were conducted in conformity with ethical principles of research.

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Section: Discussionmentioning

confidence: 99%

A 56-year-old Woman with a Right Arm Mass

Papagelopoulos¹,

Mavrogenis²,

Skarpidi

et al. 2008

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

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“…MRI has been the mainstay of interval surveillance imaging at the primary site. Older studies evaluating ultrasound for the detection of early local recurrences have shown comparable results with MRI, but are not routinely used today . In one study, prospective ultrasound evaluation in 50 patients with STS, and it was found to be highly sensitive and specific (92% and 94%) .…”

Section: Sts Surveillance Following Resectionmentioning

confidence: 99%

“…Older studies evaluating ultrasound for the detection of early local recurrences have shown comparable results with MRI, but are not routinely used today . In one study, prospective ultrasound evaluation in 50 patients with STS, and it was found to be highly sensitive and specific (92% and 94%) . One caveat with the ultrasonography is that its success requires an experienced ultrasonographer which low volume centers may not have available and findings may be more difficult to interpret postoperatively.…”

Section: Sts Surveillance Following Resectionmentioning

confidence: 99%

Screening populations at high risk for soft tissue sarcoma and surveillance following soft tissue sarcoma resection

Witt

Baldini

Raut

2019

Journal of Surgical Oncology

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Soft tissue sarcomas (STS) are a rare and diverse group of tumors that affect both adult and pediatric populations. This review discusses current screening recommendations for populations at increased risk for STS, including those with genetic predispositions. We also review surveillance guidelines for those at risk for recurrence following curative-intent surgery. K E Y W O R D S diagnostic screening programs, hereditary neoplastic syndromes, sarcoma, surveillance guidelines, surveillance imaging

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“…operator dependency and interobserver variability. [37][38][39] The lack of formal imaging planes with ultrasound may make longitudinal comparison studies more difficult. However, in some cases where orthopaedic hardware produces substantial artifacts on MRI or CT, ultrasound may be able to demonstrate a hypoechoic mass with increased peripheral vascular flow that was not present on the initial baseline postoperative scan performed within 4 weeks of surgery.…”

Section: Malignant Tumorsmentioning

confidence: 99%

Ultrasound Evaluation of Soft Tissue Masses and Fluid Collections

Smith

Salanitri

Lisle

2007

Semin Musculoskelet Radiol

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Musculoskeletal ultrasound has utility as a first-line screening modality in the evaluation of soft tissue masses. The sonographic appearances of cysts or lipomas may be sufficient to obviate the need for further imaging. For other complex cystic or solid masses, ultrasound is an inexpensive, widely available imaging modality that can evaluate lesion vascularity, guide diagnostic and therapeutic aspiration or biopsy procedures, and be used for follow-up examinations to determine response to therapeutic interventions.

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Soft Tissue Sarcomas: Ultrasonographic Evaluation of Local Recurrences

Cited by 43 publications

References 9 publications

A 56-year-old Woman with a Right Arm Mass

A 56-year-old Woman with a Right Arm Mass

Screening populations at high risk for soft tissue sarcoma and surveillance following soft tissue sarcoma resection

Ultrasound Evaluation of Soft Tissue Masses and Fluid Collections

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