Systemic Therapy for Advanced Soft Tissue Sarcoma

Surg Clin North Am. 2016 Oct;96(5):1141-56. doi: 10.1016/j.suc.2016.06.006.

Abstract

Soft tissue sarcomas are rare tumors that present with distant metastasis in up to 10% of patients. Survival has improved significantly because of advancements in histologic classification and improved management approaches. Older agents such as doxorubicin, ifosfamide, gemcitabine, and paclitaxel continue to demonstrate objective response rates from 18% to 25%. Newer agents such as trabectedin, eribulin, aldoxorubicin, and olaratumab have demonstrated improvements in progression-free survival, overall survival, or toxicity profiles. Future studies on treatment of advanced soft tissue sarcoma will continue to concentrate on reducing toxicity, personalization of therapy, and targeting novel pathways.

Keywords: Advanced soft tissue sarcoma; Chemotherapy; Novel therapies.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use*
  • Disease Management*
  • Humans
  • Sarcoma / drug therapy*

Substances

  • Antineoplastic Agents