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==Overview==
==Overview==
* Soft tissue sarcoma derived their name from the Greek term for a fleshy excrescences. Early reports of myxoid liposarcoma by Severinius(1580-1637) and retroperitoneal sarcoma by Morgagni (1682-1771) have been recorded.An Edinburg surgeon, Wardrop( 1782-1869),who studied in Vienna,describes the term soft cancer.Charles Bell ( 1772-1842) ,in his book Surgical Observations, published in 1816, has been credited with the utilization of the term soft tissue sarcoma to differentiate it form carcinoma.In 1804, Abernethy describes the first classification of the sarcoma.In1932 Stout (1885-1967) published a seminal monograph on the pathology and treatment of sarcoma.Ewing was one of the first to list benign and malignant counterparts of tumors arising in soft tissues. Hippocrates (460–375 BC) recognized ‘‘superficial and deep-seated tumors in the arm and thigh in older people.’’ Celsus (25 BC to AD 50), a native of Greece practicing in Rome, separated benign tumors, eg, lipoma, from malignant growths, cancer. Galen (AD 131–200), another Greek physician who settled in Rome, described sarcoma as ‘‘fleshy excrescence’’ having the appearance of raw meat ‘‘sarkos.’’ Under the term of sarcoma, he combined swellings, benign tumors, as well as undefined tumors, such as ‘‘fungus.’’1 With regard to treatment, Celsus, Galen, and most physicians and surgeons for centuries advised refraining from the surgical excision of tumors, including sarcomas, that were irregular in shape, livid in color, insensible, ulcerated, or could not be moved with fingers. Theodoric of Salerno (1205–1296), a priest physician, noted that lipomatous tumors that were dark in color and firm to touch were cancerous, and treatment was not appropriate for such lesions. A French surgeon, Guy de Chauliac (1300–1368), who was the physician to 3 Popes in Avignon, held a different view. He recommended wide excision for cancer at an early stage when the cancer was small and superficial.2 Progress in medicine was hindered until the end of the 1600s by Galen’s humoral theory, insufficient knowledge of anatomy, and lack of microscopy. Microscopic study of connective tissue was inaugurated by the description and illustration of voluntary muscle, in 1721, by the Dutch Leeuwenhoek (1632–1723). Etmullerus (1644– 1683) in his book,3 which was published posthumously in 1712, urged the readers to study tumor through the microscope and gave the first description of a tumor originating from the membranes of the knee joint. He indicated that, for the most part, such lesions were very dangerous because of their tendency to become cancer (Fig. 1). By the end of the 1700s, it was accepted that cancers, including sarcomas, should be treated by surgery. John Hunter (1728–1793), the famous English surgeon, proposed that cancers, including sarcomas, should be excised with some of the surrounding substance (tissue). This was the first recommendation that malignant tumors should be removed with clear surgical margins. It seems that, although surgeons advanced the treatment of cancers, progress in understanding the composition of tumors was lacking.
* Soft tissue sarcoma derived their name from the Greek term for a fleshy excrescences. Early reports of myxoid liposarcoma by Severinius(1580-1637) and retroperitoneal sarcoma by Morgagni (1682-1771) have been recorded.An Edinburg surgeon, Wardrop( 1782-1869),who studied in Vienna,describes the term soft cancer.Charles Bell ( 1772-1842) ,in his book Surgical Observations, published in 1816, has been credited with the utilization of the term soft tissue sarcoma to differentiate it form carcinoma.In 1804, Abernethy describes the first classification of the sarcoma.In 1932 Stout (1885-1967) published a seminal monograph on the pathology and treatment of sarcoma.Ewing was one of the first to list benign and malignant counterparts of tumors arising in soft tissues.Celsus (25 BC to AD 50), a native of Greece practicing in Rome, separated benign tumors, eg, lipoma, from malignant growths, cancer. Galen (AD 131–200), another Greek physician who settled in Rome, described sarcoma as ‘‘fleshy excrescence’’ having the appearance of raw meat ‘‘sarkos.’’ Under the term of sarcoma, he combined swellings, benign tumors, as well as undefined tumors, such as ‘‘fungus.’’1 With regard to treatment, Celsus, Galen, and most physicians and surgeons for centuries advised refraining from the surgical excision of tumors, including sarcomas, that were irregular in shape, livid in color, insensible, ulcerated, or could not be moved with fingers. Theodoric of Salerno (1205–1296), a priest physician, noted that lipomatous tumors that were dark in color and firm to touch were cancerous, and treatment was not appropriate for such lesions. A French surgeon, Guy de Chauliac (1300–1368), who was the physician to 3 Popes in Avignon, held a different view. He recommended wide excision for cancer at an early stage when the cancer was small and superficial.2 Progress in medicine was hindered until the end of the 1600s by Galen’s humoral theory, insufficient knowledge of anatomy, and lack of microscopy. Microscopic study of connective tissue was inaugurated by the description and illustration of voluntary muscle, in 1721, by the Dutch Leeuwenhoek (1632–1723). Etmullerus (1644– 1683) in his book,3 which was published posthumously in 1712, urged the readers to study tumor through the microscope and gave the first description of a tumor originating from the membranes of the knee joint. He indicated that, for the most part, such lesions were very dangerous because of their tendency to become cancer (Fig. 1). By the end of the 1700s, it was accepted that cancers, including sarcomas, should be treated by surgery. John Hunter (1728–1793), the famous English surgeon, proposed that cancers, including sarcomas, should be excised with some of the surrounding substance (tissue). This was the first recommendation that malignant tumors should be removed with clear surgical margins. It seems that, although surgeons advanced the treatment of cancers, progress in understanding the composition of tumors was lacking.


==Historical Perspective==
==Historical Perspective==

Revision as of 17:32, 5 March 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rekha, M.D.

Overview

  • Soft tissue sarcoma derived their name from the Greek term for a fleshy excrescences. Early reports of myxoid liposarcoma by Severinius(1580-1637) and retroperitoneal sarcoma by Morgagni (1682-1771) have been recorded.An Edinburg surgeon, Wardrop( 1782-1869),who studied in Vienna,describes the term soft cancer.Charles Bell ( 1772-1842) ,in his book Surgical Observations, published in 1816, has been credited with the utilization of the term soft tissue sarcoma to differentiate it form carcinoma.In 1804, Abernethy describes the first classification of the sarcoma.In 1932 Stout (1885-1967) published a seminal monograph on the pathology and treatment of sarcoma.Ewing was one of the first to list benign and malignant counterparts of tumors arising in soft tissues.Celsus (25 BC to AD 50), a native of Greece practicing in Rome, separated benign tumors, eg, lipoma, from malignant growths, cancer. Galen (AD 131–200), another Greek physician who settled in Rome, described sarcoma as ‘‘fleshy excrescence’’ having the appearance of raw meat ‘‘sarkos.’’ Under the term of sarcoma, he combined swellings, benign tumors, as well as undefined tumors, such as ‘‘fungus.’’1 With regard to treatment, Celsus, Galen, and most physicians and surgeons for centuries advised refraining from the surgical excision of tumors, including sarcomas, that were irregular in shape, livid in color, insensible, ulcerated, or could not be moved with fingers. Theodoric of Salerno (1205–1296), a priest physician, noted that lipomatous tumors that were dark in color and firm to touch were cancerous, and treatment was not appropriate for such lesions. A French surgeon, Guy de Chauliac (1300–1368), who was the physician to 3 Popes in Avignon, held a different view. He recommended wide excision for cancer at an early stage when the cancer was small and superficial.2 Progress in medicine was hindered until the end of the 1600s by Galen’s humoral theory, insufficient knowledge of anatomy, and lack of microscopy. Microscopic study of connective tissue was inaugurated by the description and illustration of voluntary muscle, in 1721, by the Dutch Leeuwenhoek (1632–1723). Etmullerus (1644– 1683) in his book,3 which was published posthumously in 1712, urged the readers to study tumor through the microscope and gave the first description of a tumor originating from the membranes of the knee joint. He indicated that, for the most part, such lesions were very dangerous because of their tendency to become cancer (Fig. 1). By the end of the 1700s, it was accepted that cancers, including sarcomas, should be treated by surgery. John Hunter (1728–1793), the famous English surgeon, proposed that cancers, including sarcomas, should be excised with some of the surrounding substance (tissue). This was the first recommendation that malignant tumors should be removed with clear surgical margins. It seems that, although surgeons advanced the treatment of cancers, progress in understanding the composition of tumors was lacking.

Historical Perspective

Discovery

  • Soft tissue sarcoma derived their name from the Greek term for a fleshy excrescence.[1]
  • Hippocrates (460–375 BC) recognized soft tissue tumor in arms and thighs of older patients and suggested removal by knife for treatment. [2]
  • In the mid 19th century pathologists described that sarcomas on the basis of their tissues of origin. [3]
  • Early reports of myxoid liposarcoma by Severinius(1580-1637) and retroperitoneal sarcoma by Morgagni (1682-1771) have been recorded.
  • An Edinburg surgeon, Wardrop( 1782-1869),who studied in Vienna,describes the term soft cancer.
  • Charles Bell ( 1772-1842) ,in his book Surgical Observations, published in 1816, has been credited with the utilization of the term soft tissue sarcoma to differentiate it form carcinoma.
  • In 1804, Abernethy describes the first classification of the sarcoma.
  • In 1932 Stout( 1885-1967) published a seminal monograph on the pathology and treatment of sarcoma.
  • Ewing was one of the first to list benign and malignant counterparts of tumors arising in soft tissues.
  • In 1944, the first description of liposarcoma has been attributed to Stout, also at Memorial Sloan Kettering, as was the description with Ackerman of Leiomyosarcoma of soft tissue in 1947.
  • In 1897, Griffon et al reported the first case of LMS of the gallbladder.[4]
  • Primary bone Leiomyosarcoma was first described in 1965 [5]by Evans and Sanerkin.[6]


References

  1. Murray F. Brennan; Cristina R. Antonescu; Kaled M. Alektiar (15 December 2016). Management of Soft Tissue Sarcoma. Springer. ISBN 978-3-319-41906-0. Unknown parameter |coauthors= ignored (help)
  2. Hajdu, Steven I. (2007). "Soft tissue sarcomas". Cancer. 109 (9): 1697–1704. doi:10.1002/cncr.22608. ISSN 0008-543X.
  3. Peltier, Leonard F. (1985). "Historical note on bone and soft tissue sarcoma". Journal of Surgical Oncology. 30 (4): 201–205. doi:10.1002/jso.2930300403. ISSN 0022-4790.
  4. García Marín A, Bernardos García L, Martín Gil J, Serralta de Colsa D, Turégano Fuentes F (2010) Primary leiomyosarcoma of the gallbladder. Rev Esp Enferm Dig 102 (1):67-8. PMID: 20187695
  5. Recine F, Bongiovanni A, Casadei R, Pieri F, Riva N, De Vita A et al. (2017) Primary leiomyosarcoma of the bone: a case report and a review of the literature. Medicine (Baltimore) 96 (45):e8545. DOI:10.1097/MD.0000000000008545 PMID: 29137065
  6. Yang Y, Ma L, Li L, Liu H (2017) Primary leiomyosarcoma of the spine: A case report and literature review. Medicine (Baltimore) 96 (9):e6227. DOI:10.1097/MD.0000000000006227 PMID: 28248883

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