Twenty-five consecutive patients with chordoma, chondrosarcoma, malignant lymphoma, myeloma, osteosarcoma, malignant fibrous histiocytoma, malignant schwannoma, fibrosarcoma, synovial sarcoma, rhabdomyosarcoma, liposarcoma, undifferentiated sarcoma in the pelvis were treated. Ten local recurrences (48%) occurred among twenty-one patients who had local tumor resected. Eight distant metastases (42%) occurred among the nineteen patients with localized disease at presentation. The ten-year overall survival was 32%. Patients with pelvic bone and soft tissue sarcoma continue to have a poor prognosis with standard treatment. In addition to a significant risk of local failure, these patients are at high risk for systemic relapse. Preoperative and/or postoperative intraarterial chemotherapy was useful for local tumor control in patients with pelvic sarcomas.
