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Abstract
Soft tissue sarcomas are rare, but early, accurate diagnosis with subsequent appropriate treatment is crucial for the clinical outcome. The ESSR guidelines are intended to help radiologists in their decision-making and support discussion among clinicians who deal with patients with suspected or proven soft tissue tumors. Potentially malignant lesions recognized by ultrasound should be referred for magnetic resonance imaging (MRI), which also serves as a preoperative local staging modality, with specific technical requirements and mandatory radiological report elements. Radiography may add information about matrix calcification and osseous involvement. Indeterminate lesions, or lesions in which therapy is dependent on histology results, should be biopsied. For biopsy, we strongly recommend referral to a specialist sarcoma center, where an interdisciplinary tumor group, with a specialized pathologist, radiologist, and the surgeon are involved. In sarcoma, a CT scan of the chest is mandatory. Additional staging modalities are entity-specific. There are no evidence-based recommendations for routine follow-up in surgically treated sarcomas. However, we would recommend regular follow-up with intervals dependent on tumor grade, for 10 years after the initial diagnosis.
Keywords
diagnostic algorithm, guidelines, imaging methods, ESSR, CORE NEEDLE-BIOPSY, PART SARCOMA, MUSCULOSKELETAL LESIONS, SONOGRAPHY, MRI, MASSES, RECURRENCE, ACCURACY, METASTASIS, ULTRASOUND, soft tissue tumor

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MLA
Noebauer-Huhmann, Iris M., et al. “Soft Tissue Tumors in Adults: ESSR-Approved Guidelines for Diagnostic Imaging.” SEMINARS IN MUSCULOSKELETAL RADIOLOGY, vol. 19, no. 5, 2015, pp. 475–82, doi:10.1055/s-0035-1569251.
APA
Noebauer-Huhmann, I. M., Weber, M.-A., Lalam, R. K., Trattnig, S., Bohndorf, K., Vanhoenacker, F., … Bloem, J. L. (2015). Soft tissue tumors in adults: ESSR-approved guidelines for diagnostic imaging. SEMINARS IN MUSCULOSKELETAL RADIOLOGY, 19(5), 475–482. https://doi.org/10.1055/s-0035-1569251
Chicago author-date
Noebauer-Huhmann, Iris M, Marc-André Weber, Radhesh K Lalam, Siegfried Trattnig, Klaus Bohndorf, Filip Vanhoenacker, Alberto Tagliafico, et al. 2015. “Soft Tissue Tumors in Adults: ESSR-Approved Guidelines for Diagnostic Imaging.” SEMINARS IN MUSCULOSKELETAL RADIOLOGY 19 (5): 475–82. https://doi.org/10.1055/s-0035-1569251.
Chicago author-date (all authors)
Noebauer-Huhmann, Iris M, Marc-André Weber, Radhesh K Lalam, Siegfried Trattnig, Klaus Bohndorf, Filip Vanhoenacker, Alberto Tagliafico, Carla van Rijswijk, Joan C Vilanova, P Diana Afonso, Martin Breitenseher, Ian Beggs, Philip Robinson, Milko C de Jonge, Christian Krestan, and Johan L Bloem. 2015. “Soft Tissue Tumors in Adults: ESSR-Approved Guidelines for Diagnostic Imaging.” SEMINARS IN MUSCULOSKELETAL RADIOLOGY 19 (5): 475–482. doi:10.1055/s-0035-1569251.
Vancouver
1.
Noebauer-Huhmann IM, Weber M-A, Lalam RK, Trattnig S, Bohndorf K, Vanhoenacker F, et al. Soft tissue tumors in adults: ESSR-approved guidelines for diagnostic imaging. SEMINARS IN MUSCULOSKELETAL RADIOLOGY. 2015;19(5):475–82.
IEEE
[1]
I. M. Noebauer-Huhmann et al., “Soft tissue tumors in adults: ESSR-approved guidelines for diagnostic imaging,” SEMINARS IN MUSCULOSKELETAL RADIOLOGY, vol. 19, no. 5, pp. 475–482, 2015.
@article{7079226,
  abstract     = {{Soft tissue sarcomas are rare, but early, accurate diagnosis with subsequent appropriate treatment is crucial for the clinical outcome. The ESSR guidelines are intended to help radiologists in their decision-making and support discussion among clinicians who deal with patients with suspected or proven soft tissue tumors. Potentially malignant lesions recognized by ultrasound should be referred for magnetic resonance imaging (MRI), which also serves as a preoperative local staging modality, with specific technical requirements and mandatory radiological report elements. Radiography may add information about matrix calcification and osseous involvement. Indeterminate lesions, or lesions in which therapy is dependent on histology results, should be biopsied. For biopsy, we strongly recommend referral to a specialist sarcoma center, where an interdisciplinary tumor group, with a specialized pathologist, radiologist, and the surgeon are involved. In sarcoma, a CT scan of the chest is mandatory. Additional staging modalities are entity-specific. There are no evidence-based recommendations for routine follow-up in surgically treated sarcomas. However, we would recommend regular follow-up with intervals dependent on tumor grade, for 10 years after the initial diagnosis.}},
  author       = {{Noebauer-Huhmann, Iris M and Weber, Marc-André and Lalam, Radhesh K and Trattnig, Siegfried and Bohndorf, Klaus and Vanhoenacker, Filip and Tagliafico, Alberto and van Rijswijk, Carla and Vilanova, Joan C and Afonso, P Diana and Breitenseher, Martin and Beggs, Ian and Robinson, Philip and de Jonge, Milko C and Krestan, Christian and Bloem, Johan L}},
  issn         = {{1089-7860}},
  journal      = {{SEMINARS IN MUSCULOSKELETAL RADIOLOGY}},
  keywords     = {{diagnostic algorithm,guidelines,imaging methods,ESSR,CORE NEEDLE-BIOPSY,PART SARCOMA,MUSCULOSKELETAL LESIONS,SONOGRAPHY,MRI,MASSES,RECURRENCE,ACCURACY,METASTASIS,ULTRASOUND,soft tissue tumor}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{475--482}},
  title        = {{Soft tissue tumors in adults: ESSR-approved guidelines for diagnostic imaging}},
  url          = {{http://doi.org/10.1055/s-0035-1569251}},
  volume       = {{19}},
  year         = {{2015}},
}

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