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University of Groningen Referral patterns, prognostic models and treatment in soft tissue sarcomas Seinen, Johanna Magda

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Referral patterns, prognostic models and treatment in soft tissue sarcomas

Seinen, Johanna Magda

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2018

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Seinen, J. M. (2018). Referral patterns, prognostic models and treatment in soft tissue sarcomas. Rijksuniversiteit Groningen.

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Referral patterns, prognostic models

and treatment in soft tissue sarcomas

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J.M. Seinen

Referral patterns, prognostic models and treatment in soft tissue sarcomas PhD thesis University Medical Center Groningen, the Netherlands

ISBN 9789463233262 Copyright © 2018 J.M. Seinen

All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, without prior written permission from the author

Layout: Gildeprint Drukkerijen Cover design: Enrique Molina Campos Printed by: Gildeprint Drukkerijen

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Referral patterns, prognostic models

and treatment in soft tissue sarcomas

proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op maandag 10 september 2018 om 12.45 uur

door

Johanna Magda Seinen

geboren op 4 maart 1985 te Delfzijl

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Prof.dr. J.V.M. Bovée Prof.dr. C. Verhoef Prof. dr. J.Th.M. Plukker

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Paranimfen

Nynke Dijk Katharina Löhner

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Contents

Chapter 1. General introduction 9

Part I Diagnosis and referral patterns

Chapter 2. Diagnosis and referral pattern of soft tissue sarcoma

patients 19

Chapter 3. Delays in the management of retroperitoneal sarcomas 27

Part II Prognostic markers and biomarkers

Chapter 4. Prognostic models and the role of biomarkers 41 Chapter 5. Prognostic value of proliferation in soft tissue

sarcomas: a new look at an old measure 53

Part III Isolated limb perfusion

Chapter 6. Isolated limb perfusion of soft tissue sarcomas: a

comprehensive review of literature 75 Chapter 7. Fractures after multimodality treatment of soft tissue

sarcomas with isolated limb perfusion and radiation; likely to occur and hard to heal

101

Part IV Angiosarcoma

Chapter 8. Angiosarcoma 125

Chapter 9. Radiation-associated angiosarcoma after breast cancer: High recurrence rate and poor survival despite surgical treatment with R0 resection

131

Part V Desmoid type fibromatosis

Chapter 10. Desmoid type fibromatosis 149

Chapter 11. Four different treatment strategies in desmoid type

fibromatosis: A systematic review 155

Chapter 12. Future perspectives 177

Appendix Samenvatting 191 Summary 199 Curriculum vitae 207 PhD portfolio 209 Dankwoord 215

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