Review Article

Optimization of the Therapeutic Approach to Patients with Sarcoma: Delphi Consensus

Table 6

Recommendations for gynecological sarcomas.

RecommendationPhaseType of consensus (% agreement)

First-line palliative treatment for unresectable stromal sarcoma should be hormone treatment with letrozole1Yes (70)
After surgery for localized stromal sarcoma, hormone treatment with letrozole should be administered2No (75)
Simple hysterectomy is the surgical treatment of choice for uterine leiomyosarcoma2Yes (93.8)
The histological grade of the uterine leiomyosarcomas determines the type of palliative systemic treatment2Yes (75)
When a gynecological sarcoma is diagnosed, the case must be referred to an interdisciplinary team for agreement on what type of treatment would be best for the individual patient2Yes (75)