150 likes | 342 Views
Clinical practice guidelines in sarcoma in Scandinavia On behalf of the Scandinavian Sarcoma Group (SSG) Kirsten Sundby Hall. Clinical guidelines. SSG tradition: Current protocols define standard treatment in Scandinavia Clinical trials Treatment recommendations: SSG XVII, SSG XIX
E N D
Clinical practice guidelines in sarcoma in Scandinavia On behalf of the Scandinavian Sarcoma Group (SSG) Kirsten Sundby Hall
Clinical guidelines SSG tradition: Current protocols define standard treatment in Scandinavia • Clinical trials • Treatment recommendations: SSG XVII, SSG XIX • Registration : SSG VII , SSG XVI
SSG Registry 1986 – 2004: 6 908 patients All sarcoma centers in Sweden (5) and Norway (3) register patients, Finland 1 Population based for Norway and Sweden. Referral pattern, treatment, prognosis www.ssg-org.net
Guidelines for referral of soft-tissue tumors to tumor center • Deep tumors of any size • Subcutaneous tumors size > 5cm • All other tumors supected of being malignant
Referral before biopsy % Improvement for both sc and deep located tumors!
Biopsy method before surgical treatment % More than 1 type of biopsy: from 1% to 15%
osteosarcoma GCT GCT with ABC Guidelines for referral of bone lesions to tumor center • Lesions that can simulate bone tumors
Biopsy method (bone lesions) % More than 1 type of biopsy: from 8% to 13%
Guidelines for treatment of metastatic soft-tissue sarcomas in adult patients • Proposals for treatment • With a curative intent • With a palliative intent • Chemotherapy-Surgery-Radiotherapy
Guidelines for treatment of abdominal sarcomas • Preoperative diagnosis and planning • Surgery • Chemotherapy, radiotherapy • Follow-up • Centralized management !
Concluding statement Guidelines for clinical practice should be • continuously evaluated and revised according to register data • subject to increasing international collaboration