Had a weird case of Head and neck rhabdomyosarcoma in a pediatric patient where the patient failed in the abdomen 6 months after completion of radiation and chemotherapy. Staging shows only solitary disease in the abdomen which will be difficult to resect. Any good ideas on what the best course of treatment would be recurrent rhabdomyosarcoma well out of field? If they can't resect would you do chemo first and then art to gross disease?