期刊
SURGICAL CLINICS OF NORTH AMERICA
卷 96, 期 5, 页码 1127-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.suc.2016.05.003
关键词
External beam radiation therapy; IMRT; IGRT; Preoperative versus postoperative radiation; Radiation treatment planning
类别
Although there is no consensus regarding the optimal sequencing of external beam radiotherapy and surgery for extremity soft tissue sarcoma, radiation therapy delivered before or after limb-sparing surgery significantly improves local control, particularly for high-grade tumors. Large database analyses suggest that improved local control may translate into an overall survival benefit. Best practices require ample communication between the radiation and surgical teams to ensure appropriate tissues are targeted, unnecessary radiation is avoided, and patients are afforded the best opportunity for cure while maintaining function. Modern experiences with intensity-modulated radiotherapy/image-guided radiation therapy suggest toxicity is reduced through field size reduction and precise targeting, improving the therapeutic ratio.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据