3.2 Treatment without surgery
maps the treatment options for sarcomas
that can’t be treated with surgery. However, other
treatments may shrink the tumor so that surgery
can be done. These treatments include radiation
therapy, chemotherapy, or both. Radiation may be
given if the area was never treated with it before. If
after these treatments you are able to have surgery,
Treatment with surgery
on page 34
If you are unable to have surgery, palliative care is an
option. Palliative care is also called supportive care.
It does not try to cure the cancer but aims to control
Chemotherapy, radiation therapy, and surgery may
stop or decrease tumor growth. Other supportive care
is available depending on your symptoms. If you have
no symptoms, observation is an option. Your doctor
may also suggest surgery to remove metastatic
Joining a clinical trial is highly encouraged. You’ll
likely receive the best management of care. Ask your
treatment team if there are clinical trials you can join.
NCCN Guidelines for Patients
Soft Tissue Sarcoma, Version 1.2014
Sarcomas in the inner trunk
Treatment without surgery | Review
Chart 3.2 Treatment options
• Treatment planning is an important first step of care.
• Sarcomas in the inner trunk may or may not be
treated with surgery.
Unable to have surgery
Surgery of primary tumor,
Observation if no symptoms, or
Consider surgery of metastases