Soft Tissue sarcoma Flashcards
Soft Tissue Sarcoma Subtypes with Non-Specific Histologies
Combination regimens
- AD (doxorubicin, dacarbazine)
- AIM (doxorubicin, ifosfamide, mesna)
- MAID (mesna, doxorubicin, ifosfamide, dacarbazine)
- Ifosfamide, epirubicin, mesna
- Gemcitabine and docetaxel
- Gemcitabine and vinorelbinef
- Gemcitabine and dacarbazine
Soft Tissue Sarcoma Subtypes with Non-Specific Histologies
Single agents
- Doxorubicin
- Ifosfamide
- Epirubicin
- Gemcitabine
- Dacarbazine
- Liposomal doxorubicin
- Temozolomide
- Vinorelbinef
- Pazopanib
- Eribulin
- Trabectedin
GIST
- Imatinib
- Sunitinib
- Regorafenib
Disease progression after imatinib, sunitinib, and regorafenib
• Sorafenib
• Nilotinib
• Dasatinib(for patients with D842V mutation)
• Pazopanib
Desmoid Tumors (Aggressive fibromatosis)
- Sulindac or other non-steroidal anti-inflammatory drugs (NSAIDs) including celecoxib
- Tamoxifen ± Sulindac
- Toremifene
- Methotrexate and vinblastine
- Low-dose interferon
- Doxorubicin-based regimens
- Imatinib
- Sorafenib
- Methotrexate and vinorelbine
- Liposomal doxorubicin
Non-Pleomorphic Rhabdomyosarcoma Combination regimens
• Vincristine, dactinomycin, cyclophosphamide • Vincristine, doxorubicin, cyclophosphamide • Vincristine, doxorubicin, and cyclophosphamide alternating with ifosfamide and etoposide • Vincristine, doxorubicin, ifosfamide • Cyclophosphamide and topotecan • Ifosfamide and doxorubicin • Ifosfamide and etoposide • Irinotecan and vincristine • Vincristine and dactinomycin • Carboplatin and etoposide • Vinorelbinef and low-dose cyclophosphamide • Vincristine, irinotecan,temozolomide
Non-Pleomorphic Rhabdomyosarcoma
Single agents
- Doxorubicin
- Irinotecan
- Topotecan
- Vinorelbine
- High-dose methotrexate
- Trabectedin
Pigmented Villonodular Synovitis/Tenosynovial Giant Cell Tumor (PVNS/TGCT)
• Imatinib
Angiosarcoma
- Paclitaxel
- Docetaxel
- Vinorelbine
- Sorafenib
- Sunitinib
- Bevacizumab
- All other systemic therapy options as per Soft Tissue Sarcoma Subtypes with Non-Specific Histologies
Solitary Fibrous Tumor/Hemangiopericytoma
- Bevacizumab and temozolomide
* Sunitinib
Alveolar Soft Part Sarcoma (ASPS)
• Sunitinib (category 2B)
PEComa, Recurrent Angiomyolipoma, Lymphangioleiomyomatosis
- Sirolimus
- Everolimus
- Temsirolimus
Inflammatory Myofibroblastic Tumor (IMT) with Anaplastic Lymphoma Kinase (ALK) Translocation
- Crizotinib
* Ceritinib
Well-differentiated/Dedifferentiated Liposarcoma (WD-DDLS) for Retroperitoneal Sarcomas
• Palbociclib