As of April 20, Shenandoah Oncology will reopen our clinic after a temporary closure. During the time of our closure, our facilities were extensively cleaned and sanitized. Additionally, we have completed a comprehensive evaluation and response coordinated with the Virginia Department of Health and have concluded that it is safe to resume treatment in our clinic. The wellbeing of our patients continues to be our top priority. We are instating additional preventive measures to ensure a safe care environment, including:

  • Enhanced screening of anyone entering the facility.
  • Requirement of anyone entering the building to wear a face covering. We will provide procedure masks to patients.
  • The operational flow in our building has been modified to allow maximize spacing between individuals in our facility.

We know how difficult and stressful this time is for patients and their families. Our care team will continue to evaluate the most appropriate way to provide continued treatment for each patient during the pandemic, whether in person at our office or by telemedicine. We’re here for you! Always.

Disease & Drug Information

Sarcoma Staging

Stage I

Divided into Stages IA and IB:

  • Stage IA - the tumor is low-grade (likely to grow and spread slowly) and 5 centimeters or smaller. It may be either superficial (in subcutaneous tissue with no spread into connective tissue or muscle below) or deep (in the muscle and may be in connective or subcutaneous tissue).
  • Stage IB - the tumor is low-grade (likely to grow and spread slowly) and larger than 5 centimeters. It may be either superficial or deep in the tissue.

Stage II

Divided into Stages IIA and IIB:

  • Stage IIA - the tumor is mid-grade (somewhat likely to grow and spread quickly) or high-grade (likely to grow and spread quickly) and 5 centimeters or smaller. It may be either superficial or deep in the tissue.
  • Stage IIB - the tumor is mid-grade (somewhat likely to grow and spread quickly) and larger than 5 centimeters. It may be either superficial or deep in the tissue.

Stage III

The tumor is either:

  • High-grade (likely to grow and spread quickly), larger than 5 centimeters, and either superficial or deep in the tissue; or
  • Any grade, any size, and has spread to nearby lymph nodes.

Stage IV

The tumor is any grade, any size, and may have spread to nearby lymph nodes. Cancer has spread to distant parts of the body, such as the lungs. 

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