Multidisciplinary Treatment of Inguinoscrotal Sarcomas: Analysis of 39 Cases Treated by Surgical Approach
Por:
Samsó, RH, Cabré, LC, Abós, SG, Solerdelcoll, MS, Majercakova, K, García, AS, Alegria, IG, Garrido, MF, Duarte, AM, López, JAG
Publicada:
9 mar 2026
Resumen:
Background: Inguinoscrotal sarcomas are a rare sarcoma subtype. The treatment of choice is radical inguinal orchiectomy with wide local resection of the surrounding soft tissues. However, consensus regarding prognostic factors is lacking. We present our experience at a referral sarcoma center concerning the management, oncologic results, and prognostic factors pertaining to this disease. Methods: We conducted a retrospective analysis of patients who underwent surgery for inguinoscrotal sarcomas between 2005 and 2023 at a sarcoma referral hospital. Results: The study included 39 patients. The most frequent histology was liposarcoma. Seven patients required surgical reconstruction with a microvascularized free flap. Four patients presented major postoperative complications. Mean follow-up was 46 months. Overall survival rates were 97.4%, 81.7%, and 64.8% at one, three, and five years. High-grade tumors were correlated with worse overall and disease-free survival. Conclusions: The chance finding of a sarcoma in the inguinal region poses a diagnostic and therapeutic dilemma when considering options for treatment with curative intent. Vascular and muscle resection followed by vascular and/or free flap reconstruction may be necessary to achieve complete surgical resections; therefore, a multidisciplinary approach is needed. A preoperative biopsy should be performed to establish the histological grade, which may be the main prognostic factor.
Filiaciones:
Samsó, RH:
Hosp Santa Creu & Sant Pau, Dept Gen Surg, Barcelona 08041, Spain
Cabré, LC:
Hosp Santa Creu & Sant Pau, Dept Gen Surg, Barcelona 08041, Spain
Abós, SG:
Hosp Univ Mutua Terrassa, Dept Gen Surg, Terrassa 08221, Spain
Solerdelcoll, MS:
Hosp Santa Creu & Sant Pau, Dept Gen Surg, Barcelona 08041, Spain
Majercakova, K:
Hosp Santa Creu & Sant Pau, Dept Radiat Oncol, Barcelona 08041, Spain
García, AS:
Hosp Santa Creu & Sant Pau, Dept Med Oncol, Barcelona 08041, Spain
Alegria, IG:
Hosp Santa Creu & Sant Pau, Dept Orthopaed & Trauma Surg, Barcelona 08041, Spain
Garrido, MF:
Hosp Clin Barcelona, Dept Plast & Reconstruct Surg, Barcelona 08036, Spain
Duarte, AM:
Hosp Santa Creu & Sant Pau, Dept Gen Surg, Barcelona 08041, Spain
López, JAG:
Hosp Santa Creu & Sant Pau, Dept Gen Surg, Barcelona 08041, Spain
Green Submitted, gold
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