
<b>FURTHER PROBLEMS. </b>
LMS causes further problems in two ways: LOCAL RECURRENCE and METASTASIS [secondary tumors]. 

         <b>LOCAL RECURRENCE</b>
 Local recurrence, if it is possible, is treated like the primary tumor, and is generally not considered to greatly affect survival times, unless it involves vital structures. It may or may not be followed by radiotherapy.  However, repeated local recurrences might lead to locally advanced disease, which can also become inoperable.