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We considered additional surgical treatment, but eventually selected chemotherapy. She died 4 years and 7 months after initial surgery. Spindle cell sarcoma is a rare disease with a poor prognosis. Although no optimal treatment method has been established, in the present case, incomplete surgical resection and postoperative carbon-ion radiotherapy were performed, yielding a relatively long survival period. Spindle cell sarcoma is a rare disease with a poor prognosis. Although no optimal treatment method has been established, in the prese