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How would you approach a patient with recurrent uterine adenosarcoma with sarcomatous overgrowth following R0 resection of secondary pelvic tumor debulking?

Patient has previously received two lines of systemic therapy (gemcitabine + docetaxel + bevacizumab and ifosfamide + doxorubicin) and whole pelvic radiation therapy. Tumoral testing without any targeted therapy options.
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How would you approach a patient with recurrent uterine adenosarcoma with sarcomatous overgrowth following R0 resection of secondary pelvic tumor debulking?

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