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Radiation Oncology • Sarcoma
Do you offer adjuvant radiation therapy for a patient with a > 5 cm resected malignant peripheral nerve sheath tumor with 1 cm negative margin?
What margins (if any) do you consider appropriate to not require adj RT? And would you ever consider neoadj RT?
Answer from: Radiation Oncologist at Community Practice
MPNST typically treated as an ext/trunk STS and we prefer neoadj RT unless pt has uncontrolled DM or other comorbidities that would lead to poor wound healing.
In this case, we first need to know the grade.
If G2 or 3, then this patient is Stage II-III and will require adj RT regardless of margi...
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