Please select the option that best describes you:
Topics:
Radiation Oncology • Sarcoma
Would you favor post op radiation therapy for soft tissue sarcoma if a positive margin were still expected despite pre-op radiation?
Tumor factor: Large axillary soft tissue sarcoma with involvement of the brachial plexus
Other factor: Surgery would like to pursue upfront surgery to debulk tumor as tumor not expected to shrink significantly with pre op radiotherapy
Answer from: Radiation Oncologist at Academic Institution
The key question here is whether you are dealing with tumor ON the plexus, expected to result in a microscopically positive (R1) margin, or tumor IN the plexus, expected to result in gross residual disease (R2).
If tumor is ON the plexus, a planned R1 margin on a critical structure, with addition...
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Answer from: Radiation Oncologist at Academic Institution
In responding to this question, we are limited by the following:
Absence of MRI images.
Specific information about size, histology, and tumor grade.
No information regarding patient's age, other morbidity, or relevant past medical history. Although I assume the patient in question is an adult if ...