Lymph Node Staging and Treatment in Pediatric Patients With Soft Tissue Sarcomas: A Consensus Opinion From the Children's Oncology Group, European paediatric Soft Tissue Sarcoma Study Group, and the Cooperative Weichteilsarkom Studiengruppe

Pediatr Blood Cancer. 2025 Apr;72(4):e31538. doi: 10.1002/pbc.31538. Epub 2025 Jan 23.

Abstract

Accurate staging of nodal involvement in pediatric sarcoma patients is important to determine correct systemic and local therapy, with the goal to reduce subsequent recurrences. However, differences in lymph node staging strategies, definitions, and treatment protocols between the Children's Oncology Group (COG), European paediatric Soft tissue sarcoma Study Group (EpSSG), and the Cooperative Weichteilsarkom Studiengruppe (CWS) complicate comparisons. In this article, we aim to establish internationally recognized recommendations for lymph node assessment and treatment of children and adolescents diagnosed with rhabdomyosarcoma (RMS) and non-rhabdomyosarcoma soft tissue sarcoma (NRSTS) according to the Consensus Conference Standard Operating Procedure methodology.

Keywords: including soft tissue; non‐rhabdoid; pediatric oncology; rhabdomyosarcoma; sarcomas.

Publication types

  • Consensus Statement

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Europe
  • Humans
  • Lymph Nodes* / pathology
  • Lymphatic Metastasis
  • Neoplasm Staging
  • Rhabdomyosarcoma* / pathology
  • Rhabdomyosarcoma* / therapy
  • Sarcoma* / pathology
  • Sarcoma* / therapy