Area of care 09

सॉफ्ट-टिश्यू सार्कोमा और रेट्रोपेरिटोनियल ट्यूमर

01Overview

  • Soft-tissue sarcoma
  • Retroperitoneal tumours

Soft-tissue sarcomas are uncommon cancers. They begin in muscle, fat or connective tissue. The retroperitoneum is the space at the back of the belly, behind the intestines. Some deep tumours can grow here for some time without symptoms.

These tumours are best planned carefully, often before any operation. A biopsy and scans are usually needed first.

Microscope view (H&E stain) of a liposarcoma, a soft-tissue sarcoma, showing fat cells beside denser tumour cellsNephron · CC BY-SA 3.0
Microscope view (H&E stain) of a liposarcoma, a soft-tissue sarcoma, showing fat cells beside denser tumour cells

02Warning signs

Soft-tissue sarcoma & retroperitoneal tumours:
when to see a doctor.

These can also have other causes, such as harmless fatty lumps, but they are worth showing to a doctor.

Heavy bleeding, trouble breathing, chest pain or fainting: go to the nearest emergency department now.

  • A lump in the arm, leg, trunk or belly that is growing
  • A lump that is deep, large, or becoming painful
  • A swelling that keeps growing, even if it is painless
  • A feeling of fullness or a mass in the belly
  • Swelling of a leg, or pressure on nearby organs
  • Weight loss with no clear reason

03Where surgery fits

Soft-tissue sarcoma & retroperitoneal tumours in Bikaner:
surgery in plain words.

  1. 01

    Biopsy before surgery

    A biopsy is usually done before surgery. It is planned carefully so that it does not affect later treatment.

  2. 02

    Complete removal

    Surgery aims to remove the whole tumour with a margin of normal tissue. Where possible, surgery that saves the limb is considered.

  3. 03

    Retroperitoneal surgery

    Deep tumours may lie near the kidney, bowel or large blood vessels. Removal may involve nearby organs. It is planned with scans.

  4. 04

    Radiotherapy and chemotherapy

    Radiotherapy uses high-energy rays. Chemotherapy uses cancer medicines. Either may be advised before or after surgery, depending on the type of sarcoma and the findings.

  5. 05

    Follow-up

    Regular checks and scans are advised for some time after treatment.

04How the plan is made

Decided together,
step by step.

  1. 01

    Your doctor examines the lump and reviews scans such as MRI or CT.

  2. 02

    Your doctor studies your reports and scans and advises any missing tests.

  3. 03

    The case is discussed with other specialists where needed. These may be doctors for scans, tissue tests, cancer medicines and radiotherapy. This is called a multidisciplinary discussion.

  4. 04

    The plan is explained to you and your family in plain words, with all the options. You decide together with the doctor.

05What to bring

Your papers
save time.

06Questions

Asked about
soft-tissue sarcoma & retroperitoneal tumours.

Is every lump a sarcoma?

No. Most lumps are harmless. A lump that is growing, deep or painful should be checked.

Why is a biopsy done before surgery?

Different tumours are treated in different ways. Knowing the type first helps to plan the safest operation.

Can the limb be kept?

The aim, where possible, is to keep the limb. This depends on where the tumour is. It is discussed in advance.

Next step

Talk it through
in person.

Bring your reports and a family member. You will leave knowing what is known so far, and what comes next.