Myxofibrosarcoma
Prepared with OnCo (onco.cc/prep/myxofibrosarcoma/). Orientation, not medical advice; your team knows your case.
My details
What I know, what is unclear, changes to discuss
Saved in this browserMy questions
12 on the sheet- 1.What is my exact diagnosis, stage, and grade, and which tests established them?
- 2.Which biomarkers have been tested on my tumour (for example FNCLCC grade and grade progression at recurrence, MRI tail sign, TP53, CDKN2A and RB1 alterations, Absence of specific fusion or MDM2 amplification), and what were the results?
- 3.Which subtype is my cancer, and does that change the recommended treatment?
- 4.Is germline (inherited) genetic testing recommended for me or my family?
- 5.For my situation (localised), which of the standard options do you recommend and why?
- 6.For my situation (recurrent local disease), which of the standard options do you recommend and why?
- 7.For my situation (metastatic), which of the standard options do you recommend and why?
- 8.Am I a candidate for Doxorubicin, Ifosfamide, Gemcitabine or related drugs, and what side effects should I expect?
- 9.Would a second opinion at a high-volume centre change anything, and can you help arrange it?
- 10.What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?
- 11.I read that “Local recurrence remains the highest of any sarcoma”. How does that affect my plan?
- 12.I read that “No targetable driver has been found”. How does that affect my plan?
The words I may hear
- FNCLCC grade (soft-tissue sarcoma): The FNCLCC grade is a 1-to-3 score for soft-tissue sarcomas based on how abnormal, how fast-dividing, and how much dead tissue the tumour shows; grade drives whether chemotherapy is considered.
Tests and results to bring
Biomarker results to ask for: FNCLCC grade and grade progression at recurrence, MRI tail sign (infiltrative margins), TP53, CDKN2A and RB1 alterations, Absence of specific fusion or MDM2 amplification (excludes liposarcoma).
Scans and tests linked to this cancer: MRI.
Bring copies of scan reports, pathology and blood results, and a list of every medicine and supplement.
The treatments I may be offered
- Localised: Wide resection planned on contrast-enhanced MRI to include tail-like extensions; preoperative or postoperative radiotherapy for intermediate- and high-grade and recurrent tumours. (Limb-salvage surgery and endoprosthetic reconstruction, MRI, IMRT / IGRT (modern external beam), FNCLCC grade (soft-tissue sarcoma))
- Recurrent local disease: Re-resection with radiotherapy if not previously given; amputation only for uncontrollable multiply recurrent disease. (Limb-salvage surgery and endoprosthetic reconstruction, IMRT / IGRT (modern external beam))
- Metastatic: Doxorubicin-based chemotherapy as for other high-grade soft tissue sarcomas; metastasectomy for limited lung disease. (Doxorubicin, Ifosfamide, Gemcitabine, Docetaxel)
From the standard of care recorded for this cancer; which apply depends on your stage and biomarkers. Ask which the team recommends and why.