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Of local disease control was achieved when deep and lateral margins microscopically were 10 mm (1 cm).   fascial planes tend to act as biologic barriers to local tumor invasion, but this protective effect may be overcome with high-grade lesions. Staging of sts: once a tentative or confirmed diagnosis of sts is made, further testing is necessary to determine if the disease has spread.   thoracic (chest) radiographs, evaluation (fna) of draining lymph nodes if palpable, and abdominal ultrasound (especially for higher grade tumors) are considered appropriate for routine staging. viagra daily use wiki   immunohistochemistry is recommended for those patients whose tumors are difficult to classify on routine biopsy. buy viagra online    in some patients, ct scanning may be necessary to better delineate tumors when attempting to make a decision regarding surgery.   cats with suspected vaccine related sarcomas are routinely scanned prior to treatment due to the locally invasive nature of this disease. viagra price turkey   if surgery is not considered possible based on the scan, then the scan is used to plan radiation therapy.   a ct scan from a cat diagnosed with a vaccine associated sarcoma. This patient presented to acic after an attempted curative surgery.   the red arrow points to contrast agent placed over the surgery scar. The white arrows point to the true extent of disease. viagra daily use wiki Radiation was pursued   surgery: for localized disease, wide surgical excision is considered the treatment of choice for sts. order viagra online   surgery alone can potentially be curative. original viagra potenzpillen viagra online bestellen However, as is the case with most sts that occur on the extremities or where microscopically clean margins are not achieved, further treatment is necessary to prevent local recurrence.   if a conservative surgery was initially performed and clean margins not achieved, a second surgery should be performed. viagra online forsale   if a second surgery is not possible due to the location of the tumor, radiation therapy should be pursued. order viagra   radiation therapy: radiation is a very effective treatment for certain soft tissue sarcomas.   it can be used after surgery when margins are considered “dirty” (not tumor free) or can be used to shrink a larger tumor to a point where surgery can be more successful. buy generic viagra online   a combination of surgery and radiation therapy has proven to be effective in keeping patients disease free for extended periods of time.   in one study, 76% of patients were alive and disease free 5 years following radiation therapy of an incompletely excised sts.   if radiation is used without surgical interventio. buy viagra without prescription  

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