What is included in inpatient care for angiosarcoma (AS)?

Updated: Sep 04, 2018
  • Author: Maria Belén Carsi, MD, PhD, FRCS; Chief Editor: Edwin Choy, MD, PhD  more...
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Answer

With larger higher-grade soft-tissue angiosarcomas, adjuvant radiotherapy is effective in reducing local recurrence.

Radiotherapy can be delivered intraoperatively, by brachytherapy, or by external beam radiotherapy (EBRT). The brachytherapy technique results in rates of tumor control similar to those obtained with EBRT, with a similar rate of wound complications. Moreover, it presents the advantage of requiring only 5 days, rather than the 5-6 weeks needed for EBRT, and reduces radiation scatter. Brachytherapy is often the technique of choice in angiosarcomas near joints or gonads.

In bone angiosarcoma, specialist use combinations of radiation therapy and chemotherapy as adjuvant methods of treatment, but significant data about their effectiveness are lacking.

In cutaneous angiosarcoma, postoperative radiotherapy is warranted in cases with unsatisfactory margins, large tumor size, deep extension, and multicentricity. Radical radiation therapy in the form of high-field electron beam therapy shows promise in prolonging survival of patients with localized lesions.


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