Radiation therapy and conservative surgery for soft tissue sarcomas of the extremities, torso and head and neck

Between May 1985 and July 1990, 45 patients (pts.) with primary (39) or recurrent (6) soft tissue sarcomas of the extremities (82%), torso (11%) and head and neck (7%) were treated with radiation therapy and conservative surgery. Seven pts. not amenable to conservative surgery underwent preoperative...

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Bibliographic Details
Published in:Annals of oncology 1992-04, Vol.3 (suppl-2), p.S97-S101
Main Authors: De Paoli, A., Bertola, G., Boz, G., Gherlinzoni, F., Frustaci, S., Fumo, G., Innocente, R., Trovò, M. G., Rossi, C., Carbone, A., Morassut, S.
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
conservative surgery
Extremities
Female
Follow-Up Studies
Head and Neck Neoplasms - radiotherapy
Head and Neck Neoplasms - surgery
Head and Neck Neoplasms - therapy
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Postoperative Care - methods
Preoperative Care - methods
radiation therapy
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Retrospective Studies
Sarcoma - radiotherapy
Sarcoma - surgery
Sarcoma - therapy
Soft Tissue Neoplasms - radiotherapy
Soft Tissue Neoplasms - surgery
Soft Tissue Neoplasms - therapy
soft tissue sarcoma
Surgical Procedures, Operative - methods
Thoracic Neoplasms - radiotherapy
Thoracic Neoplasms - surgery
Thoracic Neoplasms - therapy
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Description
Summary:Between May 1985 and July 1990, 45 patients (pts.) with primary (39) or recurrent (6) soft tissue sarcomas of the extremities (82%), torso (11%) and head and neck (7%) were treated with radiation therapy and conservative surgery. Seven pts. not amenable to conservative surgery underwent preoperative radiation therapy whereas 38 pts. underwent local excision and post-operative radiation therapy. Out of the 38 pts. managed by postoperative radiation, 24 (63%) showed negative surgical margins and 14 (37%) positive margins, their tumor being adjacent to vital structures. Preoperative radiation allowed conservative surgery in all 7 pts. with initially inoperable tumor; surgical margins were negative in 5 and positive in 2 pts. Twenty-six pts. (58%) had tumor≥5 cm (5–24) and 19 (42%)
ISSN:0923-7534
1569-8041
DOI:10.1093/annonc/3.suppl_2.S97