What is Sarcoma?

A sarcoma (from the Greek sarx meaning "flesh") is a cancer that arises from transformed cells in one of a number of tissues that develop from embryonic mesoderm.[1] Thus, sarcomas include tumors of bone, cartilage, fat, muscle, vascular, and hematopoietic tissues. (This is in contrast to carcinomas, which originate from epithelial cells and thus give rise to more common malignancies, such as breast, colon, and lung cancer.)

Sarcomas are given a number of different names, based on the type of tissue from which they arise. For example, osteosarcoma arises from bone, chondrosarcoma arises from cartilage, and leiomyosarcoma arises from smooth muscle.

In addition to being named based on the tissue of origin, sarcomas are also assigned a grade (low, intermediate, or high) based on the presence and frequency of certain cellular and subcellular characteristics associated with malignant biological behavior. Low grade sarcomas are usually treated surgically, although sometimes radiation therapy or chemotherapy are used. Intermediate and high grade sarcomas are more frequently treated with a combination of surgery, chemotherapy and/or radiation therapy.[2] Since higher grade tumors are more likely to undergo metastasis (invasion and spread to locoregional and distant sites), they are treated more aggressively. The recognition that many sarcomas are sensitive to chemotherapy has dramatically improved the survival of patients. For example, in the era before chemotherapy, long term survival for patients with localized osteosarcoma was only approximately 20%, but now has risen to 60-70%.