Management of adult soft tissue sarcomas of the head and neck

摘要: Adult soft tissue sarcoma of the head and neck are rare represent a heterogeneous group tumours different histological variants. Management these neoplasms presents great challenge. Malignant fibrous histiocytoma, fibrosarcoma, angiosarcoma malignant peripheral nerve sheath tumour most frequently found types in neck. Although traditional morphological assessment is foundation clinical decision making, role immunohistochemistry molecular biology useful for diagnosis, prognosis identification possible targets therapy. The involved sites scalp/face, sinonasal tract/anterior skull base parotid/neck. management sarcomas primarily surgical. Since it difficult to obtain wide margins during surgical treatment sarcomas, because anatomic constraints, patients undergo post-operative irradiation. Survival varies from 50 80%. Prognostic factors grade, margin status size. With further insight into sarcoma, modern imaging techniques new options, we will certainly be able improve outcome with upcoming years.