(P 216) VIRTUAL MULTIDISCIPLINARY MEETINGS IN THE CARE OF SARCOMA PATIENTS

Objective: Sarcomas are a heterogeneous and rare group of malignancies with an increasing number of subtypes. The aim of virtual multidisciplinary team (MDT) meetings is to provide support from the reference center for oncologists in peripheral centers in the diagnosis and therapeutic decision-making for patients with soft tissue sarcomas.

Methods: Virtual MDTs are held biweekly via Zoom. Invitations are sent a week in advance. Patient cases, including imaging, are submitted securely. Following each meeting, a summary with recommendations is emailed to participants.

Results: The first meeting took place on October 7, 2022. To date, 311 cases have been discussed: 181 patients with soft tissue sarcomas, 43 with bone sarcomas, 34 with retroperitoneal sarcomas, 13 with uterine sarcomas, 11 with desmoid tumors, and 29 with benign soft tissue tumors or carcinomas. As a result of MDT discussions, 94 patients were referred for in-person consultation or initiated treatment at the National Institute; 97 received palliative chemotherapy locally; 55 underwent radical surgery or radiotherapy in their primary centers. In 65 cases, alternative decisions were made, such as further observation or repeat biopsy.

Conclusion: Interdisciplinary consultations across centers facilitate the management of rare tumors and often allow patients to receive treatment locally without referral. Simultaneously, MDT meetings enhance access to specialized care or clinical trials when needed.