Wide local excision for soft tissue sarcoma
Limb-sparing surgery, also called limb salvage surgery, is a form of wide local excision. This type of surgery implies that the original tumor is somewhat larger or of a higher grade. With limb-sparing surgery, your surgical oncology team aims to remove the entire tumor while avoiding the need to amputate the extremity or rendering it useless by cutting critical nerves or blood vessels.
In about 90-95 percent of sarcoma cases in the United States, the tumor can be removed without amputation. Oftentimes neoadjuvant radiation therapy and/or chemotherapy will be used to shrink the tumor if it is large, or if it is located near important nerves, blood vessels or other critical structures or organs.
What is a wide location incision?
A common form of surgery for many types of cancer, wide local excision describes the process of removing a sarcoma tumor with a surrounding margin of healthy, normal tissue. A pathologist will then review the removed tissue under the microscope to determine if the sarcoma tumor has been completely removed. The pathologist may also examine lymph nodes or other tissues removed by the surgical oncologist, to determine if the sarcoma has metastasized (spread).