Literature DB >> 35167005

Preoperative Radiation for Soft Tissue Sarcomas: How Much Is Needed?

Safia K Ahmed1, Ivy A Petersen2.   

Abstract

OPINION STATEMENT: Preoperative radiation therapy is an important component of curative treatment for extremity and superficial trunk soft tissue sarcomas. It has traditionally been delivered to a dose of 50 Gy in 2 Gy fractions over 5 weeks. With significant advances in the multidisciplinary approach to soft tissue sarcomas, preoperative radiation therapy may be omitted for certain cases, delivered over a shortened period of time (1-3 weeks), deintensified for myxoid liposarcomas, or combined with systemic therapy to improve the therapeutic ratio. This article reviews the innovative preoperative radiation therapy strategies currently used to treat extremity and superficial trunk soft tissue sarcomas.
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Entities:  

Keywords:  Combination therapy; Dose deintensification; Hypofractionation; Omission of radiation therapy; Preoperative radiation therapy; Soft tissue sarcoma

Mesh:

Year:  2022        PMID: 35167005     DOI: 10.1007/s11864-022-00943-7

Source DB:  PubMed          Journal:  Curr Treat Options Oncol        ISSN: 1534-6277


  56 in total

1.  Efficacy of adjuvant radiation therapy in the treatment of soft tissue sarcoma of the extremity: 20-year follow-up of a randomized prospective trial.

Authors:  Joal D Beane; James C Yang; Donald White; Seth M Steinberg; Steven A Rosenberg; Udo Rudloff
Journal:  Ann Surg Oncol       Date:  2014-04-23       Impact factor: 5.344

2.  Role of post-operative radiation boost for soft tissue sarcomas with positive margins following pre-operative radiation and surgery.

Authors:  Elizabeth Pan; Saveli I Goldberg; Yen-Lin Chen; Christine Giraud; Jason L Hornick; Gunnlaugur P Nielsen; Francis J Hornicek; Chandrajit P Raut; Thomas F DeLaney; Elizabeth H Baldini
Journal:  J Surg Oncol       Date:  2014-08-11       Impact factor: 3.454

3.  Surgery alone is adequate treatment for early stage soft tissue sarcoma of the extremity.

Authors:  W B Al-Refaie; E B Habermann; E H Jensen; T M Tuttle; P W T Pisters; B A Virnig
Journal:  Br J Surg       Date:  2010-05       Impact factor: 6.939

4.  Randomized prospective study of the benefit of adjuvant radiation therapy in the treatment of soft tissue sarcomas of the extremity.

Authors:  J C Yang; A E Chang; A R Baker; W F Sindelar; D N Danforth; S L Topalian; T DeLaney; E Glatstein; S M Steinberg; M J Merino; S A Rosenberg
Journal:  J Clin Oncol       Date:  1998-01       Impact factor: 44.544

5.  Late radiation morbidity following randomization to preoperative versus postoperative radiotherapy in extremity soft tissue sarcoma.

Authors:  Aileen M Davis; Brian O'Sullivan; Robert Turcotte; Robert Bell; Charles Catton; Pierre Chabot; Jay Wunder; Alex Hammond; Veronique Benk; Rita Kandel; Karen Goddard; Carolyn Freeman; Anna Sadura; Benny Zee; Andrew Day; Dongsheng Tu; Joseph Pater
Journal:  Radiother Oncol       Date:  2005-04       Impact factor: 6.280

6.  Positive surgical margins in soft tissue sarcoma treated with preoperative radiation: is a postoperative boost necessary?

Authors:  Ali Al Yami; Anthony M Griffin; Peter C Ferguson; Charles N Catton; Peter W M Chung; Robert S Bell; Jay S Wunder; Brian O'Sullivan
Journal:  Int J Radiat Oncol Biol Phys       Date:  2010-01-07       Impact factor: 7.038

7.  Long-term results of a prospective randomized trial of adjuvant brachytherapy in the management of completely resected soft tissue sarcomas of the extremity and superficial trunk.

Authors:  L B Harrison; F Franzese; J J Gaynor; M F Brennan
Journal:  Int J Radiat Oncol Biol Phys       Date:  1993-09-30       Impact factor: 7.038

8.  Preoperative versus postoperative radiotherapy in soft-tissue sarcoma of the limbs: a randomised trial.

Authors:  Brian O'Sullivan; Aileen M Davis; Robert Turcotte; Robert Bell; Charles Catton; Pierre Chabot; Jay Wunder; Rita Kandel; Karen Goddard; Anna Sadura; Joseph Pater; Benny Zee
Journal:  Lancet       Date:  2002-06-29       Impact factor: 79.321

9.  Influence of surgical margins on outcome in patients with preoperatively irradiated extremity soft tissue sarcomas.

Authors:  K K Tanabe; R E Pollock; L M Ellis; A Murphy; N Sherman; M M Romsdahl
Journal:  Cancer       Date:  1994-03-15       Impact factor: 6.860

10.  The effect of the setting of a positive surgical margin in soft tissue sarcoma.

Authors:  Patrick W O'Donnell; Anthony M Griffin; William C Eward; Amir Sternheim; Charles N Catton; Peter W Chung; Brian O'Sullivan; Peter C Ferguson; Jay S Wunder
Journal:  Cancer       Date:  2014-06-03       Impact factor: 6.860

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