Soft Tissue Tumors
A 55-year-old man presents with a slowly enlarging painless mass in his thigh that he first noticed 6 months ago. Examination reveals a firm, deep-seated 8cm mass fixed to underlying muscle. MRI shows a heterogeneous mass within the quadriceps with enhancement. Core needle biopsy confirms high-grade undifferentiated pleomorphic sarcoma. Staging CT shows no pulmonary metastases. Regarding soft tissue sarcomas:
Mark each as TRUE or FALSE
Soft tissue sarcomas arise from mesenchymal tissues (fat, muscle, nerve, vessels); they are rare (1%...
Clinical presentation is typically a painless enlarging mass; deep location (subfascial), size great...
Most soft tissue sarcomas are benign; superficial location is more concerning than deep; size less t...
Biopsy should be performed by or in consultation with the treating surgeon; core needle biopsy or in...
Treatment is primarily surgical with wide local excision (1-2cm margin or intact fascial barrier); l...
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Click T (True) or F (False) for each option