Awareness of upper extremity bone, soft tissue and skin malignancies is paramount for the practicing hand surgeon. This course will discuss the appropriate work up for worrisome lesions of the upper limb as well as a discussion for the indications and techniques of biopsy. Examples will be given demonstrating adequate and inadequate biopsy specimens. General principles of histology evaluation will be reviewed including appropriate tumor grading. A detailed discussion of the more common bone, soft tissue and skin malignant tumors will be provided. The latest techniques in bone and soft tissue tumor surgery will be discussed including the salient features of tumor resection surgery with emphasis on obtaining adequate margins and preparing the limb for salvage reconstruction. The basic principles of limb salvage surgery will be reviewed including an overview of defect management including techniques for pedicled and free tissue transfer. Additionally, long bone reconstructive options such as free vascularized fibular transfer will be discussed.
The goals of limb sparing surgery will be explained in the context of specific tumor conditions, illustrating for the attendee the importance of balancing "function" and "cure." The current recommendations for neo-adjuvant and adjuvant treatments will be outlined, including the indications for chemotherapy and radiation therapy. Each section of the course will be enhanced with multiple tumor cases and invited audience participation. At the conclusion of the instructional course, the participant will be able to apply the basic principles of biopsy to his or her practice as well as be able to recognize different grades of malignant tumors. The participant will be able to describe current tumor resection techniques as well as options for adjuvant treatment. Also, the attendee will be list the options available for defect management following tumor resection surgery of the upper limb.
Learning Objectives: - Review the fundamentals of performimg a biopsy of bone and soft tissue tumors of the upper extremity.
- Review current treatment recommendations for specific bone and soft tissue tumors of the upper extremity, including the basic principles of limb salvage surgery.
- Learn reconstructive options following resection of soft tissue sarcomas of the upper extremity, including free tissue transfer
- Discuss reconstructive options for bone defects following resection of benign and malignant bone tumors of the upper extremity.
http://www.assh.org/AnnualMeeting/program/Pages/Instructional-Course-Lectures.aspx
