Abstract
Doxorubicin-based chemotherapy does not appear to offer a survival benefit to patients who have high-risk primary extremity soft tissue sarcomas, whereas ifosfamide-based chemotherapy does. This benefit is likely histology- and size-specific. Until a less toxic targeted systemic therapy is developed, treatment with ifosfamide should be strongly considered in patients who have high-risk primary extremity soft tissue sarcomas.
MeSH terms
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Antineoplastic Combined Chemotherapy Protocols / adverse effects
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
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Cisplatin / adverse effects
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Cisplatin / therapeutic use
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Disease-Free Survival
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Dose-Response Relationship, Drug
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Doxorubicin / adverse effects
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Doxorubicin / therapeutic use
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Extremities
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Female
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Humans
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Ifosfamide / adverse effects
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Ifosfamide / therapeutic use
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Male
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Neoadjuvant Therapy / methods*
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Neoplasm Invasiveness / pathology*
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Neoplasm Staging
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Prognosis
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Randomized Controlled Trials as Topic
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Risk Assessment
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Sarcoma / drug therapy*
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Sarcoma / mortality*
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Sarcoma / pathology
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Sarcoma / surgery
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Survival Analysis
Substances
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Doxorubicin
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Cisplatin
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Ifosfamide