What is the treatment after a year of chemo for patient with stage four swings sarcoma ? 28 year old african american male with spots on lungs

Radiation, chemoRx: This is a difficult tumor to treat. The options for treatment of metastatic ewing's sarcoma are chemo and local radiation or surgery. The chemotherapies that have worked best include vincristine, doxorubicin, cyclophosphamide, and ifosfamide/etoposide. A list of current clinical trials is at: http://www.Cancer.Gov/clinicaltrials/search/results?Protocolsearchid=6293871&vers=2 good luck.

Additionally.: Ewings is a disease that is sometimes relentless but is also sometimes cured in the face of being stage iv. Local control can in some cases give the chemo a chance to control metastatic disease, or so it seems, so there is some benefit to getting radiation for example to local and larger metastases. In my practice i get pet/ct's and eventually go after the primary and anything sensible (active).