Orthopaedics and Trauma
Volume 23, Issue 4 , Pages 223-230, August 2009

(i) Epidemiology of bone and soft-tissue sarcomas

Benjamin JF Dean MRCS(Ed) Specialist Trainee at the Nuffield Orthopaedic Centre, Headington, Oxford, UK

Duncan Whitwell FRCS (Orth) Orthopaedic Consultant at the Nuffield Orthopaedic Centre, Headington, Oxford, UK

Abstract 

Sarcomas are malignant tumours of connective tissue and account for around 1% of all the cancer diagnoses in the UK each year. Sarcomas can be categorized as being of either bone or soft tissue in origin and both categories consist of a wide variety of histological subtypes. Most sarcomas (about 55%) affect limbs, most frequently the leg; about 15% affect the head and neck area or are found externally on the trunk, while the remainder are internal and located in the retroperitoneum or abdomen. A number of environmental factors including radiation exposure, viral infection, occupation and chemical exposure have been linked to the development of sarcomas. A number of heritable conditions, including Li–Fraumeni syndrome, neurofibromatosis, retinoblastoma and Werner's syndrome, are associated with an increased risk of sarcoma development. This article reviews the epidemiology of bone and soft-tissue sarcomas and highlights its relevance with regard to sarcoma diagnosis and the potential development of new treatments.

Keywords: bone, epidemiology, sarcoma, soft-tissue

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PII: S1877-1327(09)00083-9

doi:10.1016/j.mporth.2009.05.006

Orthopaedics and Trauma
Volume 23, Issue 4 , Pages 223-230, August 2009