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← Soft Tissue Sarcoma

HEALTH PROFESSIONAL · SOURCE READING

Surgery with radiation therapy

Source: Soft Tissue Sarcoma Treatment (PDQ®)–Health Professional Version, National Cancer Institute.

Source updated: February 21, 2025 · Captured 2026-09-09.

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Context: Treatment of Stage I Soft Tissue Sarcoma / Treatment Options for Stage I Soft Tissue Sarcoma

Surgical excision with preoperative radiation therapy (preRT) or postoperative radiation therapy (PORT) may be indicated. Radiation therapy decreases the risk of local recurrence but has not been shown to increase overall survival.[12-14]

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Options for tumors of the retroperitoneum, trunk, and head and neck include:

Surgical resection with the option of PORT if negative margins cannot be obtained. Wide margins are unusual in these sites, and radiation therapy is usually advocated for trunk and head and neck primary tumor sites.[15]

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PreRT followed by maximal surgical resection. Radiation therapy may be used in sarcomas of the trunk and head and neck to maximize local control when wide surgical margins cannot be obtained.[16]

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Preserved source evidence · Not medical advice