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Radiation Oncology • Sarcoma
Do you routinely treat postoperative extremity soft tissue sarcoma with IMRT?
If so, how to you address the scar? Do you use bolus? Do you place a 2mm retraction from skin for the target contour?
Answer from: Radiation Oncologist at Community Practice
Historical tidbit: In the early days of IMRT, and I'm talking like ~2000-2003, there were actually approved diagnosis codes for IMRT (oropharynx was allowed e.g.). There were likewise codes that were exclusionary for IMRT (I remember breast and gastric cancer e.g. being disallowed early on). Soft ti...
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Answer from: Radiation Oncologist at Community Practice
We treat STS with IMRT, especially if we are able to spare bone better to decrease the risk of fracture. We do include the scar and drain site in the initial 50 Gy volume and use bolus at the scar to ensure adequate dosimetry. In an area away from the scar and subcutaneous tissue at risk, we retract...