SEOM-GEIS Spanish clinical guidelines for the management of soft‑tissue sarcomas (2024)

Clin Transl Oncol. 2025 Apr;27(4):1460-1471. doi: 10.1007/s12094-024-03842-5. Epub 2025 Feb 7.

Abstract

Soft-tissue sarcomas are rare, diverse malignant tumors of mesenchymal origin, requiring diagnosis and treatment by a specialized multidisciplinary team. Initial assessment includes radiology and biopsy, followed by wide surgical resection with clear margins for localized cases. Radiotherapy is recommended for large, deep, high-grade tumors or after incomplete resection, while perioperative chemotherapy may be considered for high-risk cases. In oligometastatic disease, combining local and systemic therapies is an option. Anthracycline-based chemotherapy is the first-line treatment in advanced disease, though other drugs show efficacy in certain subtypes. Given the limited options, enrolling in clinical trials is advised for patients needing further treatment.

Keywords: Guidelines; Rare cancer; Sarcoma; Soft-tissue sarcoma.

Publication types

  • Practice Guideline

MeSH terms

  • Humans
  • Sarcoma* / diagnosis
  • Sarcoma* / pathology
  • Sarcoma* / therapy
  • Soft Tissue Neoplasms* / pathology
  • Soft Tissue Neoplasms* / therapy
  • Spain