Extremity sarcoma surgery in younger children: ten years of patients ten years and under.

Ryan B. Israelsen, Benjamin E. Illum, Susie Crabtree, R Randall, Kevin B. Jones

Research output: Contribution to journalArticle

Abstract

Sarcoma surgeons face unique challenges in younger patients with significant skeletal growth remaining. The heightened concerns regarding radiation in the very young and the drastic changes expected in the lengths and cross-sectional areas of bones affect the decision-making for both soft-tissue and bone sarcomas in this population. Nonetheless, there is sparse literature focused on sarcoma surgery in this age group. The records of one tertiary regional sarcoma treatment program were reviewed to identify all patients ten years old or younger at the time of local control surgery for limb or limb-girdle sarcomas. Demographic information, diagnosis, surgery performed, complications, and general outcomes were gleaned from the medical records. 43 patients were identified, including 15 with osteosarcomas, 11 Ewing's sarcoma family tumors, five rhabdomyosarcomas, and two synovial sarcomas, among others. Location of tumors varied widely, but demonstrated a predilection for the upper extremity more than is typical in adolescents with the same tumor types. Survival was favorable overall, with only five patients dying from disease. Most patients continued to function well at latest follow-up, but 16 experienced additional surgical interventions following the index procedure. Sarcoma surgery in the younger growing child presents challenges for the surgeon, patient, and parents, but is usually successful in the long-term.

Original languageEnglish (US)
Pages (from-to)145-153
Number of pages9
JournalThe Iowa orthopaedic journal
Volume31
StatePublished - Dec 1 2011
Externally publishedYes

Fingerprint

Sarcoma
Extremities
Synovial Sarcoma
Neoplasms
Ewing's Sarcoma
Rhabdomyosarcoma
Osteosarcoma
Upper Extremity
Medical Records
Decision Making
Age Groups
Parents
Demography
Radiation
Bone and Bones
Survival
Growth
Population
Surgeons

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Extremity sarcoma surgery in younger children : ten years of patients ten years and under. / Israelsen, Ryan B.; Illum, Benjamin E.; Crabtree, Susie; Randall, R; Jones, Kevin B.

In: The Iowa orthopaedic journal, Vol. 31, 01.12.2011, p. 145-153.

Research output: Contribution to journalArticle

Israelsen, Ryan B. ; Illum, Benjamin E. ; Crabtree, Susie ; Randall, R ; Jones, Kevin B. / Extremity sarcoma surgery in younger children : ten years of patients ten years and under. In: The Iowa orthopaedic journal. 2011 ; Vol. 31. pp. 145-153.
@article{af72ad1951e94f1c91303f0a34a8c0e8,
title = "Extremity sarcoma surgery in younger children: ten years of patients ten years and under.",
abstract = "Sarcoma surgeons face unique challenges in younger patients with significant skeletal growth remaining. The heightened concerns regarding radiation in the very young and the drastic changes expected in the lengths and cross-sectional areas of bones affect the decision-making for both soft-tissue and bone sarcomas in this population. Nonetheless, there is sparse literature focused on sarcoma surgery in this age group. The records of one tertiary regional sarcoma treatment program were reviewed to identify all patients ten years old or younger at the time of local control surgery for limb or limb-girdle sarcomas. Demographic information, diagnosis, surgery performed, complications, and general outcomes were gleaned from the medical records. 43 patients were identified, including 15 with osteosarcomas, 11 Ewing's sarcoma family tumors, five rhabdomyosarcomas, and two synovial sarcomas, among others. Location of tumors varied widely, but demonstrated a predilection for the upper extremity more than is typical in adolescents with the same tumor types. Survival was favorable overall, with only five patients dying from disease. Most patients continued to function well at latest follow-up, but 16 experienced additional surgical interventions following the index procedure. Sarcoma surgery in the younger growing child presents challenges for the surgeon, patient, and parents, but is usually successful in the long-term.",
author = "Israelsen, {Ryan B.} and Illum, {Benjamin E.} and Susie Crabtree and R Randall and Jones, {Kevin B.}",
year = "2011",
month = "12",
day = "1",
language = "English (US)",
volume = "31",
pages = "145--153",
journal = "The Iowa orthopaedic journal",
issn = "1541-5457",
publisher = "University of Iowa",

}

TY - JOUR

T1 - Extremity sarcoma surgery in younger children

T2 - ten years of patients ten years and under.

AU - Israelsen, Ryan B.

AU - Illum, Benjamin E.

AU - Crabtree, Susie

AU - Randall, R

AU - Jones, Kevin B.

PY - 2011/12/1

Y1 - 2011/12/1

N2 - Sarcoma surgeons face unique challenges in younger patients with significant skeletal growth remaining. The heightened concerns regarding radiation in the very young and the drastic changes expected in the lengths and cross-sectional areas of bones affect the decision-making for both soft-tissue and bone sarcomas in this population. Nonetheless, there is sparse literature focused on sarcoma surgery in this age group. The records of one tertiary regional sarcoma treatment program were reviewed to identify all patients ten years old or younger at the time of local control surgery for limb or limb-girdle sarcomas. Demographic information, diagnosis, surgery performed, complications, and general outcomes were gleaned from the medical records. 43 patients were identified, including 15 with osteosarcomas, 11 Ewing's sarcoma family tumors, five rhabdomyosarcomas, and two synovial sarcomas, among others. Location of tumors varied widely, but demonstrated a predilection for the upper extremity more than is typical in adolescents with the same tumor types. Survival was favorable overall, with only five patients dying from disease. Most patients continued to function well at latest follow-up, but 16 experienced additional surgical interventions following the index procedure. Sarcoma surgery in the younger growing child presents challenges for the surgeon, patient, and parents, but is usually successful in the long-term.

AB - Sarcoma surgeons face unique challenges in younger patients with significant skeletal growth remaining. The heightened concerns regarding radiation in the very young and the drastic changes expected in the lengths and cross-sectional areas of bones affect the decision-making for both soft-tissue and bone sarcomas in this population. Nonetheless, there is sparse literature focused on sarcoma surgery in this age group. The records of one tertiary regional sarcoma treatment program were reviewed to identify all patients ten years old or younger at the time of local control surgery for limb or limb-girdle sarcomas. Demographic information, diagnosis, surgery performed, complications, and general outcomes were gleaned from the medical records. 43 patients were identified, including 15 with osteosarcomas, 11 Ewing's sarcoma family tumors, five rhabdomyosarcomas, and two synovial sarcomas, among others. Location of tumors varied widely, but demonstrated a predilection for the upper extremity more than is typical in adolescents with the same tumor types. Survival was favorable overall, with only five patients dying from disease. Most patients continued to function well at latest follow-up, but 16 experienced additional surgical interventions following the index procedure. Sarcoma surgery in the younger growing child presents challenges for the surgeon, patient, and parents, but is usually successful in the long-term.

UR - http://www.scopus.com/inward/record.url?scp=84858382995&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84858382995&partnerID=8YFLogxK

M3 - Article

C2 - 22096434

AN - SCOPUS:84858382995

VL - 31

SP - 145

EP - 153

JO - The Iowa orthopaedic journal

JF - The Iowa orthopaedic journal

SN - 1541-5457

ER -