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for more treatment are based on 1) the size of the

margin; and 2) if the surgical cut went deep into a

normal, soft tissue layer called the fascia.

No more treatment will be needed if the surgical

margin is larger than 1 cm or the fascia was not cut.

Treatment options are based on cancer stage if the

surgical margin is 1 cm or smaller and the fascia

was cut. For stage IA, the first option is no further

treatment. For some stage IA cancers, your doctor

may consider radiation therapy. Radiation therapy

may lower the chances of the cancer returning. For

stage IB, radiation therapy should be considered.

Chart 2.1.2

lists care after cancer treatment has

ended. You should receive rehabilitation if you need

it. This may include occupational or physical therapy.

You should also start to have follow-up tests to check

if the cancer has returned. Getting follow-up tests

can help find cancer early. Cancer is more likely to be

cured if found early.

Tests include medical history, physical exam, and

imaging tests. For example, if the cancer is likely to

spread to your lungs, you may get imaging tests of

the chest. Likewise, you may get imaging tests of the

site where the primary tumor was.

19

NCCN Guidelines for Patients

®

Soft Tissue Sarcoma, Version 1.2014

2

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