Unresectable metastatic disease is not curable for the majority of patients a primary diagnosis of sarcoma. Most sarcoma patients require resection of the metastases to improve their chance of cure. Post resection, chemotherapy may not add to the curability of a patient with soft tissue sarcoma though some patients with metastatic Ewings sarcoma or rhabdomyosarcoma maybe cured by chemotherapy without operative intervention.

A patient will be considered for resection of skeletal or pulmonary metastasis if:

• The primary disease is or can be controlled.
• A complete metastectomy can be performed
• The fewer the number of metastatic lesions the better. We can expect up to a 30% salvage rate in well selected cases.

Surgery is also considered to palliate pain or prevent fracture or debility when appropriate.