SciRouter Oncology / Cancer guide / Soft Tissue Sarcoma
Canine cancer guide

Soft Tissue Sarcoma

A connective-tissue tumor that typically grows as a firm, often pseudo-encapsulated mass. Locally invasive but generally low metastatic rate (10–20% for low-grade).

also known as STSalso known as Spindle cell tumor
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Prevalence

A heterogeneous group representing ~15% of all skin and subcutaneous tumors in dogs. Includes fibrosarcoma, peripheral nerve sheath tumor, hemangiopericytoma, and several others.

Who gets it

Middle-aged to older medium-large breed dogs. Golden Retrievers, German Shepherds, Boxers commonly affected.

Symptoms to watch for

  • A firm, slow-growing subcutaneous mass
  • Often painless until large
  • May ulcerate if size becomes significant
  • Lameness if on a limb

How it's diagnosed

  • FNA (often non-diagnostic for sarcomas — frequent false negatives)
  • Incisional or core biopsy with histopathology + grading
  • Mitotic count is the strongest prognostic factor
  • Imaging of the local site (MRI for limb tumors) to plan surgery
  • Three-view chest radiographs for staging

Prognosis ranges

Grade I/II with clean margins: often curative; >3 years median. Grade III: median ~9 months even with adjuvant therapy. Local recurrence is the bigger problem than metastasis for low-grade.

Treatment landscape

Wide surgical excision (3 cm margins, one fascial plane)Surgery
ResponseCurative for low-grade with clean margins
ToxicityOften requires reconstruction or amputation for limb tumors.
Cost range$2,500–$8,000 depending on location
Adjuvant radiationRadiation
ResponseReduces local recurrence by ~50% in incomplete excisions
ToxicityMucositis, dermatitis; usually 16–20 fractions.
Cost range$5,000–$8,000
Doxorubicin (high-grade adjuvant)Chemotherapy
ResponseModest benefit for grade III
ToxicityCardiotoxicity at cumulative dose.
Cost range$2,500–$4,000
Metronomic chemotherapyChemotherapy
ResponseReduces recurrence in incompletely excised STS
ToxicityWell-tolerated; oral.
Cost range$200–$400/month

Recurrent mutations in this cancer

Frequencies from canine clinico-genomic cohorts. SciRouter Oncology auto-checks every mutation in your dog's report against the OncoKB-aligned database for matched targeted therapies.

GeneFrequency
TP53
22%
PTEN
10%
PIK3CA
8%

Questions to ask your vet

  • What's the grade and mitotic count?
  • Were the margins clean?
  • If not, what are our options — re-excision, radiation, or metronomic chemo?
  • What's the metastatic risk for this grade?
  • Could we have done a pre-surgical MRI to plan margins better?

Quality-of-life notes

Most STS dogs feel essentially normal. The QoL hit comes from the surgery itself, not the cancer. Limb-sparing techniques are worth asking about.

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