SEOM Clinical Guideline of management of soft-tissue sarcoma (2020)

Autores de IDIVAL
Autores ajenos al IDIVAL
- Álvarez Álvarez R
- Casado Herráez A
- Cruz Jurado J
- Estival González A
- Martín-Broto J
- Martínez Marín V
- Moreno Vega A
- Sebio García A
- Valverde Morales C
Unidades
Abstract
Soft-tissue sarcomas constitute an uncommon and heterogeneous group of tumors of mesenchymal origin. Diagnosis, treatment, and management should be performed by an expert multidisciplinary team. MRI/CT of the primary tumor and biopsy is mandatory before any treatment. Wide surgical resection with tumor-free tissue margin is the mainstay for localized disease. Radiotherapy is indicated in large, deep, high-grade tumors, or after marginal resection not suitable for re-excision. Perioperative chemotherapy should be discussed for high-risk sarcomas of the extremities and trunk-wall. In the case of oligometastatic disease, patients should be considered for local therapies. First-line treatment with anthracyclines (or in combination with ifosfamide) is the treatment of choice. Other drugs have shown activity in second-line therapy and in specific histological subtypes but options are limited and thus, a clinical trial should always be discussed.
Datos de la publicación
- ISSN/ISSNe:
- 1699-048X, 1699-3055
- Tipo:
- Practice Guideline
- Páginas:
- 922-930
- PubMed:
- 33405052
Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico SPRINGER
Citas Recibidas en Web of Science: 30
Documentos
- No hay documentos
Filiaciones
Keywords
- Guidelines; Sarcoma; Soft-tissue tumors; Uncommon tumors