Abstract
Non-rhabdomyosarcoma soft-tissue sarcomas (NRSTS) comprise 4% of childhood cancers and consist of numerous histologic subtypes. Prognostic factors associated with poor outcome include high histologic grade, large tumor size, presence of metastases, and unresectability. Complete surgical resection is critical for the best oncologic outcomes and is prioritized in treatment algorithms. The use of radiation therapy (RT) and chemotherapy is based upon factors such as resectability, histologic grade, tumor size, and stage. North American and European trials are defining a risk-based approach to NRSTS to limit treatment-related toxicity and to maximize therapeutic efficacy. In this paper, we summarize the current roles of surgery, RT, and chemotherapy in NRSTS and describe ongoing research that is advancing the care of NRSTS patients.
Original language | English (US) |
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Article number | e28279 |
Journal | Pediatric Blood and Cancer |
Volume | 68 Suppl 2 |
Issue number | S2 |
DOIs | |
State | Published - May 2021 |
Bibliographical note
Publisher Copyright:© 2021 Wiley Periodicals LLC
Keywords
- COG
- NRSTS
- SIOP
- chemotherapy
- non-rhabdomyosarcoma soft-tissue sarcoma
- pazopanib
- radiation therapy
- sarcoma
- surgery
- Prognosis
- Humans
- Survival Rate
- Combined Modality Therapy
- Sarcoma/pathology
- Child
PubMed: MeSH publication types
- Review
- Journal Article