Giant Pelvic Sarcoma. A Challenge for the General Surgeon

Author(s): Sánchez Martínez Gustavo Eduardo, Szymanski Florencia Luis Ramón, Muñiz Calderón Mario Emmanuel, Juárez Mendoza Diana Sofía, Bermudez Ayala Julieta, De León Rosas Diego Andrés

Pelvic sarcomas represent a rare group of tumors, which can be divided into 2 groups. Soft tissue sarcomas, including liposarcoma, leiomyosarcoma, gastrointestinal stromal tumors, malignant peripheral nerve sheath tumors, and solitary fibrous tumors. The most common bone sarcomas include osteosarcoma and chondrosarcoma.

Multidisciplinary treatment at a center experienced in the treatment of sarcoma is essential. Management is dictated by histologic type and grade. Surgical resection with wide margins is the cornerstone of treatment for pelvic sarcomas, although this is often challenging due to anatomic constraints of the pelvis. Multimodal treatment is critical due to the high risk of local recurrence in the pelvis.