Surgery>>>>>Soft Tissue Sarcomas
Question 5#

For a T2G3NOMO sarcoma (stage II), treatment typically consists of:

a. Surgery alone
b. Surgery and radiotherapy
c. Surgery, radiotherapy, pre-surgical chemotherapy
d. Surgery, radiotherapy, pre- and postsurgical chemotherapy

Correct Answer is B

Comment:

Recommendations for the management of soft tissue masses:

  1. Soft tissue tumors that are enlarging or greater than 3 cm should be evaluated with radiologic imaging (ultrasonography or computed tomography [CT] ), and a tissue diagnosis should be made using core needle biopsy.
  2. Once a sarcoma diagnosis is established, obtain imaging (magnetic resonance imaging for extremity lesions and CT for other anatomic locations) and evaluate for metastatic disease with chest CT for intermediate- or high-grade (grade 2 or 3) or large (T2) tumors.
  3. A wide local excision with 1 - to 2-cm margins is adequate therapy for low-grade lesions and Tl tumors.
  4. Radiation therapy plays a critical role in the management oflarge (T2), intermediate- or high-grade tumors. 
  5. Patients with locally advanced high-grade sarcomas or distant metastases should be evaluated for chemotherapy.
  6. An aggressive surgical approach should be taken in the treatment of patients with an isolated local recurrence or resectable distant metastases.