What is your typical approach for soft tissue sarcomas of the buttock?  

If post-op with clear margins would you prefer adjuvant RT or close observation with surgery for optimal reduction of local recurrence? This particular patient has a grade 2 undifferentiated spindle cell sarcoma, measuring 5 cm largest dimension with the closest margin being 0.9 cm. There was no LVSI.



Answer from: Radiation Oncologist at Academic Institution