Back to Search
Start Over
Conformal radiotherapy in management of soft tissue sarcoma in adults
- Source :
- Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique. 26(1-2)
- Publication Year :
- 2021
-
Abstract
- We present the update of the recommendations of the French society of radiation oncology on soft tissue sarcomas. Currently, the initial management of sarcomas is very important as it may impact on patients' quality of life, especially in limb soft tissue sarcomas, and on overall survival in trunk sarcomas. Radiotherapy has to be discussed within a multidisciplinary board meeting with results of biopsy, eventually reexamined by a dedicated sarcoma pathologist. The role of radiotherapy varies according to localization of soft tissue sarcoma. It is part of the standard treatment in grade 2 and 3 sarcomas of the extremities and superficial trunk5cm. In case of R1 or R2 resection, reexcision should be discussed. In such cases, it may be delivered preoperatively (50Gy/25 fractions of 2Gy) or postoperatively. In retroperitoneal sarcomas, preoperative conformal radiotherapy with or without modulated intensity cannot be proposed systematically in daily practice. Concomitant chemoradiotherapy cannot be considered a standard treatment. Intensity-modulated radiotherapy has become widely available. Other soft tissue sarcoma sites such as trunk, head and neck and gynaecological soft tissue sarcomas will be addressed, as well as other techniques that may be used such as brachytherapy and proton therapy.
- Subjects :
- Adult
Organs at Risk
Brachytherapy
Clinical Decision-Making
Torso
Extremities
Sarcoma
Soft Tissue Neoplasms
Radiosurgery
Tumor Burden
Rare Diseases
Oncology
Uterine Neoplasms
Radiation Oncology
Humans
Radiology, Nuclear Medicine and imaging
Female
Radiotherapy, Adjuvant
France
Retroperitoneal Neoplasms
Radiotherapy, Conformal
Neoplasm Staging
Subjects
Details
- ISSN :
- 17696658
- Volume :
- 26
- Issue :
- 1-2
- Database :
- OpenAIRE
- Journal :
- Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique
- Accession number :
- edsair.doi.dedup.....42c3a95fb34c061eb8710642c66b1159