How would you approach a subcutaneous oligometastatic uterine carcinosarcoma?

Systemic treatment.

For local, based on response to systemic, can consider local excision or hypofractionation with a schedule like skin cancer.

Generally agree with starting with chemotherapy. However, if no progression, then would discuss in MDT and pursue aggressive management of both the primary and the oligometastasis.

If oligorecurrent (after previous hysterectomy) with only one site of disease in the skin based on CT scan and vagina...