Abstract
It has been clearly documented that complete resection plus radiation therapy can locally control the overwhelming majority of soft-tissue sarcomas of the extremity and superficial trunk (1-18). In this regard, the radiation-therapy approach can be either by external beam, brachytherapy, or a combination of both (1-18). The value of adjuvant brachytherapy over surgery alone for high-grade lesions has been demonstrated in a prospective randomized trial at Memorial Sloan Kettering Cancer Center (MSKCC) (19,20). Suit (2,3,9,12) has demonstrated excellent local control for low-grade lesions using surgery with external-beam irradiation (EBRT). Other investigators have successfully employed a combination of adjuvant EBRT and brachytherapy (8,10,11,17,18). Local control rates between 80 and 100% have been reported when both surgery and radiotherapy are properly integrated.
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Harrison, L.B., Anderson, L., White, C., Brennan, M.F. (1999). HDR-IORT for Retroperitoneal Sarcomas. In: Gunderson, L.L., Willet, C.G., Harrison, L.B., Calvo, F.A. (eds) Intraoperative Irradiation. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-696-6_19
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DOI: https://doi.org/10.1007/978-1-59259-696-6_19
Publisher Name: Humana Press, Totowa, NJ
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