Undifferenciated sarcoma 2012-05983 MH. Female 67 years old Weight loss 15 kg Self palpation a mass of proximal thight 2012-05983 MH.

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Presentation transcript:

Undifferenciated sarcoma MH

Female 67 years old Weight loss 15 kg Self palpation a mass of proximal thight MH

MRI April 2012

Per cutaneous biopsy Undifferenciated sarcoma Grade 3 Chest CT: Normal MH Ki-67

MH 67 years old MRI April 2012 What do you propose? Front line surgery? Radiotherapy? Chemotherapy?

MH What do you propose? Front line surgery? Radiotherapy? Chemotherapy? A 60 mg/m2 J1 I: 3g/m2 J1 J2 67 years old MRI April 2012

June 2012: post 2 cycles CT: + 3 cm MH

What do you propose? Surgery? Radiotherapy? 2 nd line chemotherapy?

October 2012: Post RT 50 Gy: - 2 cm MH

Surgery oct 2012

15 X 7 cm Femoral nerve is included Vessels partially included 8% residual tumour cells R0 1 mm Pathology MH

June 2014: MRI Chest CT: normal + 2 years MH