STS elbow

Started by Kroll2013
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Kroll2013

Kroll2013

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10+ Year Member
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Case: left elbow synovial sarcoma, resected after neoadjuvant chemotherapy. Initial tumor size <5cm.
Negative margins.
But very large scar. If totally included in the first 50 Gy --> whole left arm in field

Is it justified not to cover the whole surgical scar and be selective ?
 
Kroll2013 said:
Case: left elbow synovial sarcoma, resected after neoadjuvant chemotherapy. Initial tumor size <5cm.
Negative margins.
But very large scar. If totally included in the first 50 Gy --> whole left arm in field

Is it justified not to cover the whole surgical scar and be selective ?
Click to expand...

I probably would not radiate. Follow closely with MRI q3 and if recurs do preop dose to a much smaller volume before re-excision.
 
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