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Sarcoma
Classification and external resources
ICD-O: M8800/3
MeSH D012509

A sarcoma (from the Greek 'sarx' meaning "flesh") is a cancer of the connective tissue[1] (bone, cartilage, fat) resulting in mesoderm proliferation.[2]

This is in contrast to carcinomas, which are of epithelial origin (breast, colon, pancreas, and others). However, due to an evolving understanding of tissue origin, the term "sarcoma" is sometimes applied to tumors now known to arise from epithelial tissue.[3] The term soft tissue sarcoma is used to describe tumors of soft tissue,[4] which includes elements that are in connective tissue, but not derived from it (such as muscles and blood vessels).

Contents

[edit] Classification

[edit] Tissue

Sarcomas are given a number of different names, based on the type of tissue from which they arise. For example, osteosarcoma arises from bone, chondrosarcoma arises from cartilage, and leiomyosarcoma arises from smooth muscle.

[edit] Grade

In addition to being named based on the tissue of origin, sarcomas are also assigned a grade, such as low grade or high grade. Low grade sarcomas are usually treated surgically, although sometimes radiation therapy or chemotherapy are used. High grade sarcomas are more frequently treated with a combination of surgery, chemotherapy and/or radiation therapy.[5] Since high grade tumors are more likely to undergo metastasis (spreading to distant sites), they are treated more aggressively. The recognition that many sarcomas are sensitive to chemotherapy has dramatically improved the survival of patients. For example, in the era before chemotherapy, long term survival for patients with localized osteosarcoma was only approximately 20%, but now has risen to 60-70%.[6]

[edit] Types of sarcoma

(ICD-O codes are provided where available.)

[edit] Epidemiology

Sarcomas are rare, with only 15,000 new cases per year in the United States.[7] Sarcomas therefore represent about one percent of the 1.5 million new cancer diagnoses in this country each year,[8] and are well below the US's orphan disease threshold of 200,000 cases per year.

Gastrointestinal stromal tumor (GIST) is the most common form of sarcoma, with approximately 3,000-3,500 cases per year in the United States.[9]

Sarcomas affect people of all ages. Approximately 50% of bone sarcomas and 20% of soft tissue sarcomas are diagnosed in people under the age of 35.[10] Some sarcomas, such as leiomyosarcoma, chondrosarcoma, and gastrointestinal stromal tumor (GIST), are more common in adults than in children. Most high-grade bone sarcomas, including Ewing's sarcoma and osteosarcoma, are much more common in children and young adults.

[edit] References

  1. ^ sarcoma at Dorland's Medical Dictionary
  2. ^ MeSH Sarcoma
  3. ^ Bukawa H, Kawabata A, Murano A, et al. (August 2007). "Monophasic epithelial synovial sarcoma arising in the temporomandibular joint". Int J Oral Maxillofac Surg 36 (8): 762–5. doi:10.1016/j.ijom.2007.02.014. PMID 17433623. http://linkinghub.elsevier.com/retrieve/pii/S0901-5027(07)00105-1. 
  4. ^ "Soft Tissue Sarcoma Home Page - National Cancer Institute". http://www.cancer.gov/cancertopics/types/soft-tissue-sarcoma/. 
  5. ^ Buecker, P (2005). "Sarcoma: A Diagnosis of Patience". ESUN 2 (5). http://sarcomahelp.org/learning_center/patience.html. Retrieved 2009-04-15. 
  6. ^ Longhi A, Errani C, De Paolis M, Mercuri M, Bacci G (Oct 2006). "Primary bone osteosarcoma in the pediatric age: state of the art". Cancer Treat Rev. 32 (6): 423–36. doi:10.1016/j.ctrv.2006.05.005. PMID 16860938. 
  7. ^ Borden EC, Baker LH, Bell RS, et al. (Jun 2003). "Soft tissue sarcomas of adults: state of the translational science". Clin Cancer Res. 9 (6): 1941–56. PMID 12796356. http://clincancerres.aacrjournals.org/cgi/pmidlookup?view=long&pmid=12796356. 
  8. ^ http://www.cancer.org/docroot/STT/content/STT_1x_Cancer_Facts__Figures_2009.asp?from=fast
  9. ^ Tran T, Davila JA, El-Serag HB (Jan 2005). "The epidemiology of malignant gastrointestinal stromal tumors: an analysis of 1,458 cases from 1992 to 2000". Am J Gastroenterol 100 (1): 162–8. doi:10.1111/j.1572-0241.2005.40709.x. PMID 15654796. 
  10. ^ Darling, J (2007). "A Different View of Sarcoma Statistics". ESUN 4 (6). http://sarcomahelp.org/sarcoma_statistics.html. Retrieved 2009-04-15. 

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