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2.3 Stage IV sarcoma

Chart 2.3.2 Care after treatment

Type of care

Schedule of care

• Rehabilitation

If needed

• Medical history, physical exam,

chest imaging, and imaging of

metastatic sites

Every 3–6 months for 2–3 years

° If good results, then repeat every 6 months for 2 years

° If good results, then repeat every year

• Consider imaging of tumor site

Right after surgery then at regular intervals of time

Chart 2.3.1 Confined cancer spread

Treatment options

Treatment as listed for stages II and III on page 20 or consider these options:

• Surgery to remove metastases ± chemotherapy, radiation therapy, or both before or after surgery,

• Ablation,

• Embolization,

• SBRT, or

• Observation

NCCN Guidelines for Patients


Soft Tissue Sarcoma, Version 1.2014


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

Chart 2.3.3 Widespread cancer

Treatment options

• Palliative chemotherapy

• Palliative radiation therapy

• Palliative surgery

• Observation if no symptoms

• Supportive care

• Ablation

• Embolization