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What treatment would you recommend for a patient with recurrent oligometastatic abdominal leiomyosarcoma, with two liver lesions?
No evidence of distant disease elsewhere. Surgical resection is not possible. Would you recommend metastasis direct therapy to the liver (i.e. SBRT or RFA or chemo-embolization) ?
Answer from: Medical Oncologist at Academic Institution
I would ask for needle ablation.
Leiomyosarcoma is unusual among cancers in that serial oligometastatic recurrence is not uncommon. These people can be managed with serial destructive therapy - resection, needle ablation, or radiosurgery. I have met people with LMS who have had many resections and ...
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Answer from: Radiation Oncologist at Community Practice
I agree with the other answer that liver directed local therapy is very reasonable. However, since these patients have a high risk of further metastases, I like to first see if there is a systemic therapy option. Borrowing from other data, if systemic therapy can get good systemic control, the patie...
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Radiation Oncologist at Ohio State University James Cancer Center
Would also note that the presence of gross disease...
Would also note that the presence of gross disease...