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Treatment Options for Childhood Soft Tissue Sarcoma

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For treatment of plexiform histiocytic tumor

Treatment of plexiform histiocytic tumor is surgery to completely remove the tumor.

For treatment of synovial sarcoma

Treatment of synovial sarcoma may include the following:

  • Surgery with or without chemotherapy.
  • Chemotherapy.
  • A clinical trial of surgery followed by watchful waiting, chemotherapy, and/or radiation therapy, based on the grade of the tumor and the amount of tumor that is removed by surgery. Sometimes chemotherapy may be given before surgery.

For treatment of undifferentiated soft tissue sarcoma

Treatment of undifferentiatedsoft tissue sarcoma may be within a clinical trial for patients with nonrhabdomyosarcomatous soft tissue sarcomas (NRSTS). This study includes surgery and/or radiation therapy with or without chemotherapy.

For treatment of angiosarcoma and lymphangiosarcoma

Treatment of angiosarcoma and lymphangiosarcoma may include the following:

  • Surgery to completely remove the tumor.
  • Radiation therapy or chemotherapy after surgery.
  • A clinical trial of surgery followed by watchful waiting, chemotherapy, and/or radiation therapy, based on the grade of the tumor and the amount of tumor that is removed by surgery. Sometimes chemotherapy may be given before surgery.

For treatment of hemangioendothelioma

Treatment of hemangioendothelioma in children younger than one year may include the following:

  • Watchful waiting as some tumors will disappear without treatment.
  • Treatment for blood clottingdisorders.
  • Surgery to remove the tumor if there are symptoms.
  • Livertransplant (if the tumor is in the liver).

Treatment of hemangioendothelioma in children aged one year and older may include the following:

  • Surgery to remove the tumor.
  • Treatment for blood clottingdisorders.
  • Livertransplant (if the tumor is in the liver).

For treatment of aggressive fibromatosis, dermatofibrosarcoma, and angiomatoid malignant fibrous histiocytoma

Treatment of these tumor types will be surgery whenever possible. Other treatments may include the following:

  • Targeted drug therapy with imatinib (Gleevec).
  • Radiation therapy after surgery.

For treatment of epithelioid sarcoma, leiomyosarcoma, liposarcoma, and mesenchymal chondrosarcoma

Treatment of these tumor types will be surgery whenever possible. Other treatments may include the following:

  • Chemotherapy followed by radiation therapy, surgery, or both.
  • Radiation therapy or chemotherapy after surgery.
  • A clinical trial of internal radiation therapy.
  • A clinical trial of radiation therapy given during surgery.
  • A clinical trial of surgery followed by watchful waiting, chemotherapy, and/or radiation therapy, based on the grade of the tumor and the amount of tumor that is removed by surgery. Sometimes chemotherapy may be given before surgery.

Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with nonmetastatic childhood soft tissue sarcoma. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. General information about clinical trials is available from the NCI Web site.

WebMD Public Information from the National Cancer Institute

Last Updated: May 16, 2012
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.

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