NCCN Guidelines for Patients
Soft Tissue Sarcoma, Version 1.2014
There is little research that shows what are the best
treatments for stage IV sarcomas. Thus, clinical trials
are the preferred treatment option. If you don’t join a
clinical trial, the general recommendations presented
next may help. General recommendations are divided
into those for stage IV confined to one organ and
widespread stage IV.
lists treatment options for stage IV
sarcomas that have spread to one organ and aren’t
too large. In these cases, local treatment may be used
to treat the primary tumor. Local treatment options are
the same as those listed for stage II and III.
There are five other options to consider. One option
is surgery to remove the metastases. This surgery
is called a metastasectomy. You may be given
chemotherapy, radiation therapy, or both either before
or after surgery. The other four options are ablation,
embolization, SBRT, and observation.
lists care after cancer treatment has
ended. You should receive rehabilitation if needed.
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 of your chest. If the
cancer is likely to return, you may get imaging tests of
the site were the primary tumor was.
lists the treatment options for
widespread sarcoma. Treatment options depend on if
the cancer is or isn’t causing symptoms. If you have
no symptoms, observation is an option. Observation
is a period of regular testing for cancer growth so
treatment can be started if needed.
If you do have symptoms, you can receive palliative
care. Palliative care is also called supportive care.
Palliative care does not try to cure the cancer. It aims
to relieve your discomfort. Chemotherapy, radiation
therapy, and surgery may reduce cancer symptoms
by stopping or reducing tumor growth. Ablation,
embolization, and SBRT may also reduce symptoms.
Sarcomas in limbs, outer trunk, head, or neck Stage IV sarcoma