Treatment FAQ

where is the best place to have treatment for soft tissue sarcoma

by Abagail Walter Published 2 years ago Updated 1 year ago
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If a soft tissue sarcoma is suspected, it's often best to seek care at a medical center that sees many people with this type of cancer. Experienced doctors will select the best biopsy technique to ensure proper surgical treatment and planning.Dec 2, 2020

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Treatment for soft tissue sarcomas may be either local or systemic. Local treatments remove, destroy, or control the cancer cells in one certain area. Surgery and radiation therapy are local treatments. Systemic treatments are used to destroy or control cancer cells throughout the whole body. Chemotherapy is a systemic treatment.

What is the treatment for soft tissue sarcoma?

Studies have shown that patients with sarcomas have better outcomes when they're treated at specialized cancer centers that have experience in sarcoma treatment. Stage I soft tissue sarcomas are low-grade tumors of any size.

Why choose a specialized center for sarcoma treatment?

Patients may want to think about taking part in a clinical trial. Some clinical trials are open only to patients who have not started treatment. Surgery is the most common treatment for soft tissue sarcoma. It may be the only treatment needed for small, low-grade tumors, especially in the trunk, arms, or legs.

Should you take part in a sarcoma clinical trial?

If your family doctor suspects you have soft tissue sarcoma, you'll likely be referred to a cancer doctor (oncologist) who specializes in sarcomas. Soft tissue sarcoma is fairly rare and is best treated by someone who has experience with it, often at an academic or specialized cancer center.

What kind of Doctor treats soft tissue sarcoma?

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What is the best sarcoma center in the world?

Mayo Clinic in Rochester, Minn., Mayo Clinic in Phoenix/Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., have been recognized among the Best Hospitals for cancer by U.S. News & World Report.

What is the latest treatment for soft tissue sarcoma?

The only way to cure a soft tissue sarcoma is to remove it with surgery, so surgery is part of the treatment for all soft tissue sarcomas whenever possible.

What is the most effective treatment for sarcoma?

Small low-grade sarcomas can usually be effectively removed by surgery alone. Those that are high grade and larger than 2 inches (5 cm) are often treated with a combination of surgery and radiation therapy. Radiation therapy or chemotherapy may be used before surgery to shrink the tumor and make removal easier.

How do you beat soft tissue sarcoma?

Treatment of recurrent soft tissue sarcoma may include the following:Surgery (wide local excision) with or without radiation therapy.Surgery (amputation; rarely done).Surgery to remove cancer that has recurred in the lungs.Targeted therapy with a tyrosine kinase inhibitor (pazopanib or imatinib).Chemotherapy.More items...•

What kind of doctor treats soft tissue sarcomas?

If your family doctor suspects you have soft tissue sarcoma, you'll likely be referred to a cancer doctor (oncologist) who specializes in sarcomas. Soft tissue sarcoma is fairly rare and is best treated by someone who has experience with it, often at an academic or specialized cancer center.

How do you know if sarcoma is spreading?

CT or CAT scan: This is a type of x-ray that takes clear, detailed pictures of your insides and the tumor or lump. This test may also be done to see if cancer has spread.

What is the life expectancy with sarcoma?

5-year relative survival rates for soft tissue sarcomaSEER Stage5-Year Relative Survival RateLocalized81%Regional56%Distant15%All SEER stages combined65%Feb 2, 2021

What is the survival rate for soft tissue sarcoma?

Overall, the 5-year survival rate for soft tissue sarcomas is about 65%. The 5-year survival rate for cancer that has reached nearby organs or lymph nodes is about 50%. Once soft tissue sarcoma has spread to other parts of the body, the 5-year survival rate is about 18%.

Can sarcoma be cured completely?

A sarcoma is considered stage IV when it has spread to distant parts of the body. Stage IV sarcomas are rarely curable. But some patients may be cured if the main (primary) tumor and all of the areas of cancer spread (metastases) can be removed by surgery. The best success rate is when it has spread only to the lungs.

Are there any new treatments for sarcoma?

The Food and Drug Administration (FDA) has granted accelerated approval to olaratumab (Lartruvo®) for the treatment of some patients with soft tissue sarcoma.

Where does sarcoma spread to first?

The larger the tumor, or the higher the grade, the more likely it is to metastasize. The lungs are the most common site where sarcomas spread, although metastases have been reported in most organs, including the liver, lymph nodes and bones.

Is chemotherapy Effective for sarcoma?

Sarcoma chemotherapy uses powerful medications to destroy cancerous cells. Chemo can be used to treat both osteosarcomas and soft tissue sarcomas, and it can be given at any point in a patient's treatment plan.

How to cure a soft tissue sarcoma?

The best chance to cure a soft tissue sarcoma is to remove it with surgery, so surgery is part of the treatment for all soft tissue sarcomas whenever possible. It's important that your surgeon and other doctors are experienced in the treatment of sarcomas. These tumors are hard to treat and require both experience and expertise.

What is the treatment for sarcoma that spreads to the brain?

If the sarcoma has spread only to the lungs, it may be possible to remove all the areas of spread with surgery. Radiation is often used to treat sarcomas that spread to the brain, as well as any recurrences that cause symptoms such as pain.

What is the best treatment for angiosarcoma?

Patients with angiosarcomas may benefit from treatment with paclitaxel (Taxol) or docetaxel (Taxotere) with vinorelbine (Navelbine). For some types soft tissue sarcomas, treatment with newer targeted drugs might also be an option.

What is the best treatment for a tumor that cannot be removed?

For people whose primary tumor and all metastases cannot be completely removed by surgery, radiation therapy and/or chemotherapy are often used to relieve symptoms. The chemo drugs doxorubicin and ifosfamide are often the first choice — either together or along with other drugs.

How to treat a stage 1 sarcoma?

The goal of surgery is to remove the tumor with some of the normal tissue around it. If cancer cells are found in or near the edges of the tissue removed (called positive or close margins), it can mean that some cancer was left behind. Often the best option for positive or close margins is more surgery. Another option is treating with radiation therapy after surgery. This lowers the chance of the cancer coming back.

How to shrink a tumor after surgery?

The goal of treatment is to shrink the tumor, making it easier to remove. Chemo, radiation, or both might also be given after surgery. These treatments lower the chance of the tumor coming back in or near the same place it started. Smaller tumors may be treated with surgery first, then radiation to lower the risk of the tumor coming back.

Can a sarcoma grow back after surgery?

These tumors also tend to grow back in the same area after they're removed. (This is called local recurrence .) For all stage II and III sarcomas, removing the tumor with surgery is the main treatment. Lymph nodes will also be removed if they contain cancer. Radiation may be given after surgery.

What is soft tissue sarcoma?

Adult soft tissue sarcoma is a disease in which malignant (cancer) cells form in the soft tissues of the body. The soft tissues of the body include the muscles, tendons (bands of fiber that connect muscles to bones), fat, blood vessels, lymph vessels, nerves, and tissues around joints. Adult soft tissue sarcomas can form almost anywhere in ...

Where does sarcoma form?

Soft tissue sarcoma forms in soft tissues of the body, including muscle, tendons, fat, blood vessels, lymph vessels, nerves, and tissue around joints. There are many types of soft tissue sarcoma. The cells of each type of sarcoma look different under a microscope, based on the type of soft tissue in which the cancer began.

What is the process of finding out if a sarcoma has spread?

After adult soft tissue sarcoma has been diagnosed, tests are done to find out if cancer cells have spread within the soft tissue or to other parts of the body. The process used to find out if cancer has spread within the soft tissue or to other parts of the body is called staging.

How does cancer spread?

There are three ways that cancer spreads in the body. Cancer may spread from where it began to other parts of the body. The grade of the tumor is also used to describe the cancer and plan treatment. For adult soft tissue sarcoma of the trunk, arms, and legs, the following stages are used: Stage I. Stage II.

How do pathologists find out the grade of a tumor?

A pathologist views the tissue under a microscope to look for cancer cells and to find out the grade of the tumor. The grade of a tumor depends on how abnormal the cancer cells look under a microscope and how quickly the cells are dividing. High-grade tumors usually grow and spread more quickly than low-grade tumors.

What is it called when cancer spreads to another part of the body?

When cancer spreads to another part of the body, it is called metastasis . Cancer cells break away from where they began (the primary tumor) and travel through the lymph system or blood.

Can inherited disorders cause sarcoma?

Having certain inherited disorders can increase the risk of adult soft tissue sarcoma. Anything that increases your risk of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer.

How to cure soft tissue sarcoma?

The only way to cure a soft tissue sarcoma is to remove it with surgery, so surgery is part of the treatment for all soft tissue sarcomas whenever possible. Treatment of Soft Tissue Sarcomas, by Stage.

What kind of doctor treats sarcomas in the abdomen?

These doctors could include: An orthopedic surgeon: specializes in diseases of the bones, muscles, and joints (for sarcomas in the arms and legs) A surgical oncologist: treats cancer with surgery (for sarcomas in the abdomen [belly] ...

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

What kind of doctor treats cancer?

A radiation oncologist: treats cancer with radiation therapy. A physiatrist (or rehabilitation doctor): treats injuries or illnesses that affect how you move.

What are the services offered by the American Cancer Society?

These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, and more – to help you get through treatment.

Can you continue cancer treatment?

Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.

Is treatment information given here official policy of the American Cancer Society?

The treatment information given here is not official policy of the American Cancer Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor.

What is the treatment for soft tissue sarcoma?

The range of treatments offered to people with soft tissue sarcoma includes several types of surgery — including minimally invasive surgery and limb-sparing surgery — and the latest radiation therapy techniques — including intensity-modulated radiation therapy, brachytherapy, proton therapy and intraoperative radiation therapy.

Is Mayo Clinic a sarcoma center?

All three of Mayo Clinic's campuses — in Arizona, Florida and Minnesota — have been recognized as sarcoma centers by the Sarcoma Alliance, an organization that provides education and support to people who have been diagnosed with sarcoma.

Is Mayo Clinic a national cancer center?

Mayo Clinic Cancer Center meets strict standards for a National Cancer Institute comprehensive cancer center, which recognizes scientific excellence and a multidisciplinary approach to cancer prevention, diagnosis and treatment.

How to treat a sarcoma?

Surgery is the usual treatment for soft tissue sarcomas. The goal of surgery is to remove the whole tumor or as much of it as possible. At the same time, the goal is to preserve as much as possible of the affected body part in order to maintain normal function. The size of the tumor generally determines whether surgery alone will be used for treatment. Tumors larger than a certain size will most likely also be treated with radiation therapy and/or chemotherapy, either before or after surgery.

What is Stanford Medicine Online?

The Stanford Medicine Online Second Opinion program offers you easy access to our world-class doctors. It’s all done remotely and you don’t have to visit our hospital or one of our clinics for this service. You don’t even need to leave home!

Overview

Soft tissue sarcoma is the term for a large group of rare cancers with one thing in common: Each one affects your muscles, tendons, fat, lymph and blood vessels, and nerves. Nearly all soft tissue sarcomas in adults develop in your arms and legs, chest and stomach.

Symptoms and Causes

Soft tissue sarcoma symptoms can seem like common problems that will go away. The difference is the problems persist, and usually become more noticeable. You might have:

Diagnosis and Tests

Healthcare providers will use a variety of imaging tests to begin diagnosis:

Prevention

While researchers don’t know all risk factors for soft tissue sarcoma, they believe the following factors might increase your risk:

Living With

Soft tissue sarcoma treatment is a marathon, not a sprint. Here are some suggestions to help you through that journey:

Frequently Asked Questions

Children and adults respond differently to soft tissue sarcoma treatment. Children might have slightly better outcomes than adults.

Soft tissue sarcoma treatment options

When a soft tissue tumor is limited to one specific area, doctors usually recommend surgery as the first treatment option. The goal of surgery is to remove not only the tumor itself, but also enough healthy tissue from the immediate surrounding area that no cancer cells remain. This is known as a clean margin.

Treating cancer with more than medicine

Our approach to cancer care includes support services for the mind, body and spirit. Research shows this approach provides better outcomes.

Start your path today

Your journey to health starts here. Call 913-588-1227 or request an appointment at The University of Kansas Cancer Center.

Treatment overview

Surgery is the main treatment for soft tissue sarcoma. Surgeons aim to remove as much of the cancer as possible.

Treatment by stage

Surgery is the main treatment and it might cure you. Your surgeon aims to remove the cancer and a border of healthy tissue around it. Having a border of healthy tissue (with no cancer cells) lowers the risk of sarcoma coming back (recurring).

Clinical trials

Your doctor might ask if you’d like to take part in a clinical trial. Doctors and researchers do trials to make existing treatments better and develop new treatments.

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Soft Tissue Sarcoma Care at Mayo Clinic

  • Your Mayo Clinic care team
    At Mayo Clinic, a multidisciplinary team works together to care for people with soft tissue sarcoma. This team may include specialists in: 1. Orthopedic, general and plastic surgery 2. Medical, surgical and radiation oncology 3. Physical and occupational rehabilitation 4. Psycholo…
  • Advanced diagnosis and treatment
    Certain subtypes of soft tissue sarcoma are susceptible to targeted therapies, so a precise diagnosis is crucial for determining exactly the right treatment for you. Mayo Clinic pathologists have the necessary expertise in diagnosing these rare types of cancer that may not be available …
See more on mayoclinic.org

Expertise and Rankings

  • Each year, Mayo Clinic doctors care for more than 2,000 people with soft tissue sarcoma, including very rare varieties. This means your care team is prepared with the knowledge and resources to provide you with exactly the care you need. Mayo Clinic Cancer Centermeets strict standards for a National Cancer Institute comprehensive cancer center, which recognizes scient…
See more on mayoclinic.org

Locations, Travel and Lodging

  • Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states. For more information on visiting Mayo Clinic, choose your location below:
See more on mayoclinic.org

Costs and Insurance

  • Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people. In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need. Learn more about appointments at Mayo Clinic. Ple…
See more on mayoclinic.org

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