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NCCN Guidelines for Patients


Soft Tissue Sarcoma, Version 1.2014


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


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

Chart 2.1.1 Treatment options



Surgical results

Adjuvant treatment


Margins ≤1 cm and

fascia was cut

Margins >1 cm

or fascia not cut

Stage IA

• Start

Care after treatment

, or

• Consider radiation therapy


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