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Radiation Oncology • Sarcoma
How would you approach local recurrence of scalp angiosarcoma during the course of adjuvant radiotherapy after a widely R0 resection?
Recurrence is in the radiation field right at the border of graft and scalp, and started to surface at about 20-24 Gy. It is visibly enlarging over several days.
Answer from: Radiation Oncologist at Academic Institution
I've had similar. I had to cover the entire scalp using tomotherapy as tumor progressed when I wasn't looking. We treated with concurrent taxanes as there was a suggestion in the literature to do this and had a reasonable response. Suggest you resimulate and patch treatment fields....
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