Rhabdomyosarcoma Specialist Surgeon Singapore

Surgical Resection and Functional Salvage in Myogenic Sarcoma 

We manage rhabdomyosarcoma as a high-stakes challenge of myogenic origin, requiring a delicate balance between aggressive clearance and the preservation of childhood growth and function. Under the surgical direction of Dr. Saminathan Suresh Nathan, we specialize in the definitive resection of residual masses following chemotherapy. Our approach is grounded in the reality that while these tumors are often chemo-sensitive, the surgeon’s hand remains the final arbiter of local cure. 

Surgical Considerations

• Wide Local Excision: Prioritizing the removal of the entire muscle of origin when feasible to ensure definitive local control in high-grade pleomorphic or alveolar subtypes.

• Pediatric Growth Preservation: Utilizing specialized techniques to spare the physis (growth plate) during resection, preventing long-term limb length discrepancies in younger patients.

• Sentinel Node Vigilance: Given the higher propensity for lymphatic spread in certain rhabdomyosarcoma subtypes, we maintain a low threshold for nodal sampling to ensure accurate staging and regional control.