Stage IVb 
There are distant metastases, with spread to organs within the abdomen and/or disease in the groin lymph 
nodes .

Standard Treatment  Metastatic sarcomas are usually treated with chemotherapy . Commonly used drugs include doxorubicin or ifosfamide alone and the combinations of vincristine + actinomycin-D or doxorubicin + cyclophosphamide + DTIC .

Five-Year Survival  0 to 5 percent 

Investigational 
• Various doses and combinations of chemotherapy drugs are being evaluated.
• Mitoxantrone , a drug similar to doxorubicin, is being studied.