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NCCN Guidelines for Patients


Soft Tissue Sarcoma, Version 1.2014


5.2 Treatment without surgery

Chart 5.2.1

lists recommended options for tumors

that can’t be fully removed with surgery. There are

four treatment options. Radiation and drug therapy

are two options. If neither works, surgery to remove

the visible tumor may be done. Last, observation can

be done, and when the tumor grows you can start


Chart 5.2.2

lists care after treatment has ended.

You should receive rehabilitation if needed. This may

include occupational or physical therapy. Report any

new or worse symptoms to your doctors. A change

in symptoms may be a sign of tumor growth. You

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

the tumor has returned. Tests include medical history,

physical exam, and imaging. These tests should be

done every 3 to 6 months for 2 to 3 years. If results

are normal during this time, these tests can be done

every year.

Chart 5.2.1 Treatment options

• Radiation therapy

• Drug therapy

• Surgery if all else fails

• Observation


Desmoid tumors

Treatment without surgery

Chart 5.2.2 Care after treatment

Type of care

Schedule of care

• Rehabilitation

If needed

• Report any new or worse symptoms to your doctors

• Medical history, physical exam, and imaging

Every 3–6 months for 2–3 years

▫▫ If good results, then repeat every year