We manage pleomorphic high-grade sarcoma—formerly classified as Malignant Fibrous Histiocytoma (MFH)—as a relentless, high-grade threat. Under the surgical direction of Dr. Saminathan Suresh Nathan, we treat these as "wastebasket" diagnoses that demand the most aggressive surgical protocols. Our focus is on achieving wide margins in deep compartments where these tumors often reach massive proportions before detection, necessitating complex soft tissue coverage and functional restoration.
Compartmental Resection: Executing en bloc removal of the entire muscular compartment when tumor boundaries are poorly defined.
Adjuvant Synergy: Coordinating wide resection with perioperative radiotherapy to "sterilize" margins in high-grade, pleomorphic cases.
Bony Involvement: Managing the unique challenges that arise when soft tissue sarcomas abut the periosteum, requiring partial bony resection to ensure oncological safety.