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What is your typical approach for soft tissue sarcomas of the buttock?
If post-op with clear margins would you prefer adjuvant RT or close observation with surgery for optimal reduction of local recurrence? This particular patient has a grade 2 undifferentiated spindle cell sarcoma, measuring 5 cm largest dimension with the closest margin being 0.9 cm. There was no LVSI.
Answer from: Radiation Oncologist at Academic Institution
It is worthwhile remembering that the entire paradigm of conservative/limb-sparing surgery rather than radical surgery/amputation for extremity STS (as defined all the way back to Rosenberg et al., PMID 7114936 and Yang et al., PMID 9440743) *presupposes* that patients also receive RT. Th...
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