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NCCN Guidelines for Patients

®

Soft Tissue Sarcoma, Version 1.2014

18

2.1 Stage I sarcoma

Chart 2.1.1

maps the treatment options for

stage I sarcoma. Surgery to remove the tumor is

recommended for primary treatment. For stage I,

surgery is done to cure the cancer.

Removing a cancer-free surgical margin is the goal.

However, your surgeon may remove a thin surgical

margin to avoid cutting nerves and blood vessels.

In this case, there is a higher chance that cancer

cells will be left behind. A pathologist will assess the

surgical margin for cancer cells. If cancer is found,

you may have a second surgery.

After surgery, your doctors will assess if you need

adjuvant treatment. Adjuvant treatment can help

stop the cancer from returning. Recommendations

2

Sarcomas in limbs, outer trunk, head, or neck Stage I sarcoma

Chart 2.1.1 Treatment options

Primary

treatment

Surgical results

Adjuvant treatment

Surgery

Margins ≤1 cm and

fascia was cut

Margins >1 cm

or fascia not cut

Stage IA

• Start

Care after treatment

, or

• Consider radiation therapy

Start

Care after treatment

Stage IB

• Consider radiation therapy

Chart 2.1.2 Care after treatment

Type of care

Schedule of care

• Rehabilitation

If needed

• Medical history and physical exam Every 3–6 months for 2–3 years,

° If good results, then repeat every year

• Consider chest imaging

Every 6–12 months

• Consider imaging of tumor site

Right after surgery then at regular intervals of time