What is the role of postoperative brachytherapy in the treatment of soft tissue sarcoma?

Updated: Apr 29, 2019
  • Author: from Memorial Sloan-Kettering - Mrinal M Gounder, MD; Chief Editor: Edwin Choy, MD, PhD  more...
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Answer

Answer

Postoperative brachytherapy:

  • Common doses: brachytherapy, 45 Gy; XRT, 50 Gy

  • Consider re-resection if margins are positive

  • Consider XRT even when negative margins are achieved with re-resection and the patient is older and/or has stage III disease [10]

  • When re-resection is not an option, consider postoperative radiation therapy [11]

  • Benefits include the fact that wound-healing complications of preoperative radiation are avoided by giving radiation after surgery


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