Management of Synovial Sarcoma and Myxoid Liposarcoma

Surg Oncol Clin N Am. 2022 Jul;31(3):547-558. doi: 10.1016/j.soc.2022.03.012.

Abstract

Synovial sarcoma and myxoid liposarcoma are translocation-related sarcomas, with a high risk of developing distant metastasis, which often affect young patients and which are sensitive to chemo and radiotherapy. Surgery is the mainstay of therapy in localized disease. In these entities, perioperative radiotherapy is frequently administered, and chemotherapy is evaluated in patients with high-risk limb/trunk wall tumors in which an advantage in overall survival has been shown in the latest clinical trials. In the advanced setting, new strategies, such as cellular therapy are being developed in these histologic types, with promising, although still preliminary, results.

Keywords: Advanced soft tissue sarcoma; Cellular therapy; Chemotherapy; Myxoid liposarcoma; Radiotherapy; Synovial sarcoma; Targeted therapy.

Publication types

  • Review

MeSH terms

  • Adult
  • Extremities / pathology
  • Humans
  • Liposarcoma, Myxoid* / therapy
  • Sarcoma* / pathology
  • Sarcoma, Synovial* / therapy
  • Soft Tissue Neoplasms* / pathology