
<b>Skin</b>

A good complete physical exam and an initial CT scan of chest and abdomen/pelvis would be wise to rule out the possibility that this tumor is actually a metastasis from a primary at another site.  <b>The SARCOMA ONCOLOGIST who is following you should be the actual expert on the most current and cost effective care for you, as are the NCCN guidelines.</b>   


<b>Cutaneous LMS</b> rarely, if ever, metastasizes.  It can, however, return locally.  
Surveillance for Cutaneous LMS is simply physical inspection, if the pathology on the tumor is unequivocally cutaneous LMS.  

<b>Subcutaneous LMS</b>, can recur locally, but also can and does metastasize, often to lungs.
Surveillance for Subcutaneous LMS would be physical inspection, and either Chest X-rays or CT Scans of the chest, or some combination of the two, as the usual time intervals [every 3 months for two years, then every 6 months for another 3 years, then yearly.]
