Systemic Therapy in Advanced Pleomorphic Liposarcoma: a Comprehensive Review

Curr Treat Options Oncol. 2023 Nov;24(11):1598-1613. doi: 10.1007/s11864-023-01139-3. Epub 2023 Oct 16.

Abstract

The therapeutic approach of pleomorphic liposarcoma (PLPS), a rare high-grade subgroup of soft tissue sarcoma, is commonly extrapolated from the management of other LPS subtypes. Only published retrospective data on PLPS currently serve as a guide for oncologists without clear recommendations or specific guidelines. In the advanced setting, specific systemic therapy such as eribulin and trabectedin showed promising activity in comparison to conventional therapy (doxorubicin- and gemcitabine-based protocols), which currently remains the current standard of care at initial stages of the disease. The better understanding of soft tissue sarcoma (STS) pathophysiology and disease course has led to the development of adapted clinical trial designs for rare STS histotypes with specific treatment approach.

Keywords: Chemotherapy; Liposarcoma; Pleomorphic; Sarcoma; Soft tissue.

Publication types

  • Review

MeSH terms

  • Doxorubicin / therapeutic use
  • Humans
  • Liposarcoma* / drug therapy
  • Retrospective Studies
  • Sarcoma* / therapy
  • Soft Tissue Neoplasms*
  • Trabectedin / therapeutic use

Substances

  • Trabectedin
  • Doxorubicin