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Clinical practice guidelines in sarcoma in Scandinavia On behalf of the Scandinavian Sarcoma Group (SSG) Kirsten Sundby

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

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Clinical practice guidelines in sarcoma in Scandinavia On behalf of the Scandinavian Sarcoma Group (SSG) Kirsten Sundby

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  1. Clinical practice guidelines in sarcoma in Scandinavia On behalf of the Scandinavian Sarcoma Group (SSG) Kirsten Sundby Hall

  2. Clinical guidelines SSG tradition: Current protocols define standard treatment in Scandinavia • Clinical trials • Treatment recommendations: SSG XVII, SSG XIX • Registration : SSG VII , SSG XVI

  3. 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

  4. 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

  5. Referral before biopsy %

  6. Referral before biopsy % Improvement for both sc and deep located tumors!

  7. Biopsy method before surgical treatment % More than 1 type of biopsy: from 1% to 15%

  8. Smeland, Stuttgart 2005

  9. Increased use of radiotherapy %

  10. osteosarcoma GCT GCT with ABC Guidelines for referral of bone lesions to tumor center • Lesions that can simulate bone tumors

  11. Referral before biopsy (bone lesions) %

  12. Biopsy method (bone lesions) % More than 1 type of biopsy: from 8% to 13%

  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

  14. Guidelines for treatment of abdominal sarcomas • Preoperative diagnosis and planning • Surgery • Chemotherapy, radiotherapy • Follow-up • Centralized management !

  15. Concluding statement Guidelines for clinical practice should be • continuously evaluated and revised according to register data • subject to increasing international collaboration

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