Evidence map›Paper›PMID 39594784›Full record

ReviewCancers2024

External Hemipelvectomy in Soft Tissue Sarcomas: Are They Still Needed?

Luis Rafael Ramos Pascua, Paula Casas Ramos, Lidia De la Cruz Gutiérrez, Maximiliano Eugenio Negri, Elena Vilar González, Julio César Córdova Peralta, María Inmaculada Mora Fernández, Jesús Enrique Vilá Y Rico

Abstract readReview
In one paragraph

Review in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Luis Rafael Ramos PascuaDepartment of Orthopedic Surgery, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0001-8038-278X
Paula Casas RamosDepartment of Orthopedic Surgery, Hospital Universitario de León, 24071 León, Spain.
Lidia De la Cruz GutiérrezDepartment of Orthopedic Surgery, Hospital Universitario de León, 24071 León, Spain.
Maximiliano Eugenio NegriDepartment of Orthopedic Surgery, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0002-7512-8418
Elena Vilar GonzálezDepartment of Orthopedic Surgery, Hospital Universitario de León, 24071 León, Spain.
Julio César Córdova PeraltaDepartment of Orthopedic Surgery, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0001-7622-8771
María Inmaculada Mora FernándezHospital Universitario de Burgos, 09006 Burgos, Spain.
Jesús Enrique Vilá Y RicoDepartment of Orthopedic Surgery, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe development of new technologies, the interpretation of amputations as therapeutic failures by society, and the high morbidity and mortality associated with external hemipelvectomies make these mutilating surgical procedures appear obsolete. Herein, we review the scientific literature on the topic and present two cases of high-grade ulcerated soft tissue sarcomas in the gluteal region which show exceptional behavior and different outcomes.

methodsWe performed a literature review of the PubMed databases from 2014 to April 2024. Additionally, we present two cases of soft tissue sarcomas in an 18-year-old female patient and in a 71-year-old female patient, which were treated with extended external hemipelvectomies with anterior flap, in combination with an abdominoperineal amputation and a colostomy in one case.

resultsAfter 4 years of follow-up, case 1 is living a relatively normal life. She had an uncomplicated pregnancy and a cesarean section delivery. Case 2 underwent emergency surgery for intestinal perforation and sepsis. She died 2.5 months following the surgery.

conclusionsExternal hemipelvectomy for soft tissue sarcoma treatment is a demanding surgical procedure with purpose in selected cases after review by multidisciplinary committees and with informed patient consent. This should be similarly individualized and extended to other pathologies when possible.

Indexed as

abdominoperineal amputationamputationcolostomydeliveryexternal hemipelvectomypelvic girdlepelvispregnancysoft tissue sarcoma

Identifiers

PMID39594784
PMCPMC11593110

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.