# | Treatment depends on the initial situation and treatment. Local recurrences often require aggressive local therapy | which means more surgery and radiotherapy . A recurrence in the same area as the original tumor makes another recurrence even more likely.
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1 | • If previous treatment was aggressive | amputation may be needed for tumors of the arm or leg. |
2 | • If lung metastasis is the first area of recurrence | treatment is the same as for Stage IV disease. |
3 | • If tumors recur after chemotherapy treatment | clinical trials using new agents are appropriate.
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