Diagnostic and treatment mistakes in managing of soft tissue sarcomas

Abstract

The analysis of 100 patients with soft tissue sarcomas, who were admitted to the department of oncoorthopedic surgery in P.A. Herzen Moscow Cancer Research Institute and had undergone diagnostics or treatment in other hospitals, is represented in the article. There were diagnostic and therapeutic mistakes in the management of 91 patients. Diagnostic mistakes worsen course of disease and are the cause of delayed treatment, it diminishes a chance for high recurrenceand metastasis-free survival and significantly and limits opportunities for surgical and medical treatment. Therapeutic mistakes caused unsatisfactory oncological and functional results and worsened the prognosis in these patients. The study showed the absence of oncological suspicion among general practitioners and that the treatment of such patients should be performed only in multidisciplinary specialized oncological institutions where high-skill diagnosticians, pathologists, chemotherapists, radiologists and oncological surgeons are in the staff.