Five-Year Survival 0 to 10 percent Stage IIIc—See "Endometrial Carcinoma" Metastases to the pelvic and para-aortic lymph nodes . Five-Year Survival 0 to 10 percent Investigational See adjuvant chemotherapies under "Treatment by Cell Type." Stage IVa—See "Endometrial Carcinoma" The tumor invades the bladder or rectum. Five-Year Survival 0 to 5 percent 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 Adriamycin or ifosfamide alone and the combinations of vincristine + actinomycin-D or Adriamycin + Cytoxan + DTIC .