What is the clinical benefit of primary site postoperative radiation after neoadjuvant chemotherapy and oncologic surgery for an extremity soft tissue synovial sarcoma in an oligometastatic patient with pulmonary metastases ?
The pulmonary metastases are planned to be addressed with a combination of surgical resection and SBRT.
Answer from: Radiation Oncologist at Academic Institution
Management of oligometastatic soft tissue sarcoma is an interesting problem without a uniform standard of care. Institutionally, we often treat these patients in the following sequence:
neoadjuvant chemo, then
neoadjuvant concurrent chemoRT to primary site, then
consolidate the oligometastatic si...