Surgery>>>>>Soft Tissue SarcomasQuestion 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 BComment:
Recommendations for the management of soft tissue masses:
- 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.
- 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.
- A wide local excision with 1 - to 2-cm margins is adequate therapy for low-grade lesions and Tl tumors.
- Radiation therapy plays a critical role in the management oflarge (T2), intermediate- or high-grade tumors.
- Patients with locally advanced high-grade sarcomas or distant metastases should be evaluated for chemotherapy.
- An aggressive surgical approach should be taken in the treatment of patients with an isolated local recurrence or resectable distant metastases.