“…In comparison, in Europe, VAC therapy is substituted for a regimen consisting of ifosfamide, vincristine, and actinomycin D (IVA), which has produced similar treatment outcomes [4,5]. There is no standardized chemotherapy regimen for the adult patients, with some studies suggest using a combination of ifosfamide, doxorubicin, and vincristine, while others utilize pediatric regimens such as VAC [3,57]. When treating RMS, chemotherapy is typically administered in intervals over a 6-to 9-months period [4].…”