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The systemic treatment of uterine leiomyosarcomas: A systematic review. No news is good news?


ABSTRACT:

Background

Uterine leiomyosarcomas are rare malignant mesenchymal tumors. The systemic treatment of these tumors includes chemotherapy and radiotherapy. However, there are still a lot of unanswered questions regarding the ideal therapeutic approach.

Methods

We have conducted a systematic review of the treatment strategies of uterine leiomyosarcomas for the last ten years.

Results

Adjuvant chemotherapy is still a matter of dilemma. Doxorubicin based chemotherapy or the combination of Gemcitabine-Docetaxel are the regimens of choice for the first line setting. Beyond the first line, there are several options;, including chemotherapy, targeted therapy, and recently efforts of introducing immunotherapy to the therapeutic armamentarium of clinicians treating uterine leiomyosarcomas.

Conclusions

Despite the efforts of the clinicians dealing with uterine leiomyosarcomas, the optimal therapeutic algorithm is yet to be described.

SUBMITTER: Kyriazoglou A 

PROVIDER: S-EPMC8021365 | biostudies-literature |

REPOSITORIES: biostudies-literature

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