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Radiation Oncology • Sarcoma
Would you recommend pre-op radiation for an operable recurrent well differentiated retroperitoneal liposarcoma with abutment of the right kidney?
The interval since prior resection is between 3-5 years. Additionally, there is some evidence of nodal involvement but no evidence of metastatic disease. So, likewise, would there be any role for chemotherapy in this setting?
Answer from: at Academic Institution
Yes.
For recurrent well differentiated liposarcoma we would consider preoperative radiation therapy. We generally wait 6-8 weeks and then resect which would include a nephrectomy.
Based on Strass 1: STRASS failed to demonstrate a benefit of pre-operative RT for RPS. In the exploratory ...
Comments
Radiation Oncologist at Fox Chase Cancer Center
Thank you, Dr. Farma. I completely agree with my s...
Thank you, Dr. Farma. I completely agree with my s...
Answer from: Radiation Oncologist at Community Practice
At Mayo Clinic Rochester and Mayo Clinic Arizona, preoperative irradiation followed by restaging, gross total resection (including the kidney in the above patient) and IORT to narrow or microscopically positive margins with electrons or HDR brachytherapy was the preferred approach for patients with ...
Answer from: Radiation Oncologist at Academic Institution
Yes
Thank you for that intelligent and concise reply, ...