What is a sarcoma?
Sarcomas
are malignant tumors that arise from musculoskeletal system tissues
such as bone, muscle or connective tissue.
What
is the difference between a benign tumor and a malignant tumor?
Malignant
tumors ("cancers") are capable of spreading to other parts of
the body, whereas benign tumors cannot spread. Some benign tumors
are called "aggressive" because they can destroy nearby bones
and soft-tissues yet do not spread to other body sites.
What
is the difference between a carcinoma and a sarcoma?
Most
cancers (>90%) arise from "epithelial" tissues, such as the inside
lining of the colon, breast, lung or prostate. These are referred
to as carcinomas and usually affect older people. Sarcomas are
tumors that arise from "mesenchymal" tissues such as bone, muscle,
connective tissue, cartilage and fat. Sarcomas occur in young
people as well as in adults and comprise less than 1% of all cancers.
Sarcomas are named by the tissue of origin; for example, "osteosarcoma"
arises from bone, "liposarcoma" arises from fat and "chondrosarcoma"
arises from cartilage.
What
is tumor "grade"?
In
contrast to carcinomas, sarcomas are graded low, intermediate
or high grade by the pathologist, who examines the tumor tissue
under a microscope. The grade corresponds to the probability of
the tumor's spreading to other parts of the body. Typically, only
patients with high-grade tumors receive chemotherapy.
How
do we make a diagnosis?
In
most cases, the patient's history, examination and imaging studies
will predict the diagnosis. However, a definitive diagnosis is
not made until a biopsy is performed and tissue obtained for pathological
examination.
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