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How would you treat refractory unresectable pulmonary metastases in high grade synovial sarcoma?
Patient received Pazopanib upfront with Ifos/Dox. Pulmonary metastatectomy is not an option as there are multiple mets.
Answer from: at Community Practice
Unfortunately, the outcomes for patients described in this vignette are dismal. Complete pulmonary metastasectomy seems to be the most effective treatment for long-term survival in selected patients but this is usually only achievable in the setting of oligometastatic disease. In the largest series ...
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Answer from: Radiation Oncologist at Academic Institution
SBRT if able. Baumann et al., PMID 32588468