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Metastatic patterns of soft tissue sarcoma in extremities and trunk wall

Low-grade soft tissue sarcomas have a small tendency for metastasis and low frequency for local relapse.

High-grade soft tissue sarcomas as in myxofibrosarcomas and pleomorphic sarcomas have a great tendency for both metastasis and local relapse.

Soft tissue sarcomas usually spread hematogenously, most often to the lungs. Certain types, especially rhabdomyosarcomas and synovial sarcomas, also have a tendency for regional lymph node spreading.

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