Non-rhabdomyosarcoma soft-tissue sarcoma

Soft-tissue sarcomas in children include a vast number of histologies accompanied by very different optimal treatment strategies. They are broadly separated into two groups: rhabdomyosarcoma and non-rhabdomyosarcoma soft-tissue sarcomas. Because benign soft-tissue “lumps and bumps” on the extremities and trunk are very common in children, much more common than soft-tissue malignancies, a working knowledge of the treatment strategies is necessary. Although it is not necessary or even possible for pediatric surgeons to know the specifics of the clinical behavior and treatment of every histologic subtype of soft-tissue sarcomas, there are basic principles that should be adhered to when faced with a potentially malignant soft-tissue lesion in order to maximize the survival and quality of life of the child regardless of the specific type. Likewise, there are several types of sarcoma that are relatively more commonly seen and which pediatric surgeons should be familiar with and comfortable treating.