Sarcoma

Sarcoma are a rare and diverse group of cancers that develop in the body’s connective tissues, such as muscle, bone, fat, nerves and blood vessels. Because these tissues are found throughout the body, sarcomas can appear almost anywhere and often grow silently, making them challenging to detect early. There are more than 70 different types, broadly divided into soft tissue sarcomas and bone sarcomas, each behaving differently and requiring specialised care. Although sarcoma accounts for only about 1% of all cancers, it can affect people of any age. Treatment usually involves a combination of surgery, chemotherapy and radiotherapy, with approaches tailored to the specific type and location of the tumour.

I am part of the specialist regional sarcoma unit, based at UCLH, and have a particular interest in upper GI and abdominal sarcomas. The management, including surgery, of these rare tumours is very varied, ranging from simple excisions to complex resections and reconstruction. Each patient must be managed according to the type, stage and location of tumour, with a bespoke management plan developed for each patient. If treated early, survival can be excellent.