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Postresection surveillance recommendations retroperitoneal soft tissue sarcoma

Postresection surveillance recommendations retroperitoneal soft tissue sarcoma
Organization name Stage Assessment interval History and physical exam Imaging modality
European Society of Medical Oncology (all STS) Intermediate to high grade, resected Every 3 to 4 months for 2 to 3 years, then every 6 months up to year 5, then annually Yes CT scan with chest radiograph
Low grade, resected Every 4 to 5 months for 3 to 5 years, then annually Yes CT scan with chest radiograph
The British Sarcoma Group (all STS) Intermediate to high grade, resected Every 3 to 4 months for every 2 to 3 years, then every 6 months up to year 5, then annually Yes; focus on local recurrence with clinical examination Ultrasound or MRI where clinically suspected for locally recurrent disease; chest radiograph with subsequent CT scan for suspicious lung lesions
Low grade, resected Every 4 to 5 months for 3 to 5 years, then annually Yes; focus on local recurrence with clinical examination Ultrasound or MRI where clinically suspected for locally recurrent disease; chest radiograph with subsequent CT scan for suspicious lung lesions
National Comprehensive Cancer Network (RPS specific) Resectable disease Every 3 to 6 months for 2 to 3 years, then every 6 months for 2 years, then annually Yes Abdominal/pelvic CT or MRI with radiograph or CT of the chest
French National Cancer Institute (RPS specific) Grades 2 and 3, resected Every 3 to 4 months for 2 to 3 years, then every 6 months up to year 10 Yes CT scan with chest radiograph; after year 5, biannual chest radiograph and annual CT scan
Grade 1, resected Every 4 to 5 months for 3 to 5 years, then annually; prolonged follow-up is not needed Yes CT scan with chest radiograph
STS: soft tissue sarcoma; CT: computed tomography; MRI: magnetic resonance imaging; RPS: retroperitoneal soft tissue sarcoma.
From: Zaidi MY, Canter R, Cardona K. Post-operative surveillance in retroperitoneal soft tissue sarcoma: The importance of tumor histology in guiding strategy. J Surg Oncol 2018; 117(1):99-104. https://onlinelibrary.wiley.com/doi/abs/10.1002/jso.24927. Copyright © 2018 Wiley Periodicals, Inc. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (http://onlinelibrary.wiley.com).
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