How would you treat refractory unresectable pulmonary metastases in high grade synovial sarcoma?

Unfortunately, the outcomes for patients described in this vignette are dismal. Complete pulmonary metastasectomy seems to be the most effective treatment for long-term survival in selected patients but this is usually only achievable in the setting of oligometastatic disease. In the largest series ...

SBRT if able.

Baumann et al., PMID 32588468