[Verse 1]
Mesenchyme is the clay that makes our scaffolding and seams,
Fat, muscle, nerve, and bone all hide inside sarcoma's schemes,
Rare as snow in August, quiet, creeping, hard to trace,
So we scan it first in MRI to measure out the space.
Core needle biopsy, lined up straight along the limb,
Oriented on the future scar, no wandering, no whim,
Track it wrong and tumor cells go hitchhiking with the blade,
Plan the path before you cut — that's how the limb is saved.
[Chorus]
S-C-A-R-E, that's the code we keep,
Synovial, clear cell, angiosarcoma running deep,
Rhabdomyosarcoma, epithelioid too,
Five rebels breaking nodal rules, that's the cue.
Blood's the highway, lungs the final stop,
Lymph nodes mostly innocent, remember when to drop,
Sarcoma travels silent till the SCARE five shout out loud.
[Verse 2]
Nineteen eighty-two, Rosenberg opened up the floor,
Amputate or spare the limb, radiation evermore,
The numbers landed equal, survival held its ground,
So we keep the arm, we keep the leg, and dignity stays found.
Wide margins, careful beams, function kept alive,
A patient walks out whole instead of counting what survived,
Deep behind the belly, one sarcoma loves to hide,
Retroperitoneal liposarcoma, grown up giant-sized.
[Chorus]
S-C-A-R-E, that's the code we keep,
Synovial, clear cell, angiosarcoma running deep,
Rhabdomyosarcoma, epithelioid too,
Five rebels breaking nodal rules, that's the cue.
Blood's the highway, lungs the final stop,
Lymph nodes mostly innocent, remember when to drop,
Sarcoma travels silent till the SCARE five shout out loud.
[Bridge]
Now the stomach harbors a stranger kind of beast,
Cajal's pacemaker cells, mutated in the least,
KIT or PDGFRA, a switch stuck on and bright,
Telling cells to multiply through every day and night.
No need to chase the lymph nodes, GIST won't travel there,
Lift it out with capsule whole, handle it with care,
Rupture it and seed the belly, that's the surgeon's fright,
High risk tumors get imatinib to hold the margin tight.
[Verse 3]
Stomach is the usual address this tumor keeps,
Small bowel sometimes answers when the mutant signal leaps,
No lymphadenectomy, that labor goes to waste,
Just a clean en bloc removal, nothing left in haste.
Imatinib the shield for tumors built to break the rule,
High mitotic, large and torn — adjuvant is the tool,
Capsule kept intact, no spillage on the floor,
That's the surgeon's quiet victory behind the operating door.
[Outro]
SCARE remembers where the sarcoma roams,
Cajal cells gone rogue inside the stomach's dome,
MRI, biopsy line, Rosenberg's limb-sparing proof,
Capsule whole, imatinib — that's the surgeon's truth.