Do you routinely offer chemotherapy after resection of solitary or oligometastatic pulmonary nodule/s in young patients with previously treated soft tissue sarcoma who are otherwise without any evidence of disease?
How does histology, time to distant Mets affect your decision?
Answer from: Medical Oncologist at Academic Institution
No. If there is a good reason to use systemic therapy, better timing is to use it before metastasectomy with measurable/evaluable disease to avoid unnecessary prolonged exposure in the stage 4 NED scenario.