1.What is sarcoma? What are the characteristics of sarcoma? What is the difference between Chinese and Western medical concepts of “sarcoma”? Answer: Sarcoma is a benign tumor occurring in subcutaneous fat tissue, and its clinical characteristic is that it is a lump in subcutaneous flesh, as big as a peach or a fist, slightly soft when pressed, with unchanged color of the skin and no pain, and it is more common in adults. It is equivalent to lipoma in western medicine, but different from sarcoma in western medicine. Sarcoma in western medicine refers to malignant tumors occurring in soft tissues, such as fibrosarcoma, liposarcoma, etc. Its concept and connotation are obviously different. 2.What causes the occurrence of sarcoma? Answer: The occurrence of sarcoma is mostly due to excessive thinking or dietary exertion, depression and knotting injuring the spleen, loss of spleen’s health and transportation, loss of muscle nourishment, dereliction of spleen’s qi transportation and transformation, coagulation of fluids into phlegm, and phlegm and qi agglomeration; or depression and anger injuring the liver, loss of liver’s detachment and excretion, unsmoothness of qi, stasis and blood stagnation, unfavorable meridians and channels, coagulation of fluids into phlegm, and qi agglutination and phlegm agglomeration into sarcoma. 3.What are the clinical manifestations when sarcoma occurs? Answer: When sarcoma occurs, it can be found in any place of the whole body where there is adipose tissue, there is a subcutaneous mass, mostly located in the subcutaneous tissue, preferably in the shoulder, back, buttocks and abdominal wall, etc. The mass is round or oval, with soft texture, elasticity, clear boundary, no adhesion with the skin, sometimes foliated, slow growth, generally painless; sometimes it can be multiple, commonly found in the subcutaneous of limbs, chest or abdomen, and it is several small round or oval lumps. Sometimes it can be multiple, commonly found in the limbs, chest or subcutaneous abdomen, with multiple small round or ovoid nodules, slightly harder texture than general sarcoma, and may be accompanied by pressure pain. How to treat sarcoma? A: When the tumor is small, it can be temporarily observed without special treatment; if the tumor is large, it can be surgically excised; if there are multiple sarcomas, it can be surgically excised if it is large or symptomatic, and be treated with internal medicine. Internal treatment is based on dialectic treatment: spleen deficiency phlegm-dampness syndrome: the tumor is large, soft as sheep, swollen as bun, no tenderness, like warmth, like to press, often accompanied by yellowish color, mental fatigue, shortness of breath and laziness, with pale tongue, thin white moss, and weak pulse; treatment is based on strengthening the spleen and broadening the middle, drying dampness and removing phlegm, and the formula is Gui Spleen Pill combined with Er Chen Tang with the addition of ginseng, atractylodes macrocephala, Astragali, Angelica sinensis, roasted licorice, Poria, Polygonum, jujube seed, blue woodruff, longan flesh, and ginger, jujube, Chenpi, half-summer, etc. Liver depression and phlegm coagulation: small tumors, often multiple, slightly hard texture, mild tenderness, often accompanied by depression, irritability, chest tightness, good tai hua, red tongue, thin yellow moss, stringy pulse; treatment is based on dredging the liver to move qi, resolving depression and dispersing knots, the formula of ten full flow of qi drink with subtractions: Chen Pi, Poria, black cohosh, Rhizoma Ligustici Chuanxiong, Angelica sinensis, Paeoniae alba, Radix Aromatica Sinensis, Radix et Rhizoma Glycyrrhizae Sinensis, Green Pi, Mucuna pruriens, Ginger, jujube, and so on. External treatment: Yang and condensation ointment can be used, mixed with black retreating external application; if the tumor is large or enlarged, surgical excision is recommended. 5.What are the preventive health care measures for sarcoma? Answer: If the tumor is small, it is better to observe and follow up under doctor’s guidance; if there is obvious enlargement, it is better to consult doctor in time and receive treatment. For surgical patients, the lesion tissue can be pathologically examined to facilitate diagnosis and treatment.