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Establishment of a Primary Culture of Patient-derived Soft Tissue Sarcoma
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Patterns of Practice Survey: Radiotherapy for Soft Tissue Sarcoma of the Extremities.

Chan-Kyung J Cho1, Charles Catton2, Caroline L Holloway3

  • 1Surgery, University of British Columbia, Vancouver, CAN.

Cureus
|January 1, 2020
PubMed
Summary

Radiotherapy (RT) for extremity soft tissue sarcoma (STS) improves local control. A survey revealed most RT planning practices are similar, but contouring and boost strategies vary significantly, indicating areas for further research.

Keywords:
patterns of practiceradiotherapy for sarcomasarcomasoft tissue sarcoma of the extremities

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Area of Science:

  • Oncology
  • Radiation Oncology
  • Surgical Oncology

Background:

  • Neoadjuvant or adjuvant radiotherapy (RT) is crucial for local control in extremity soft tissue sarcoma (STS).
  • Understanding current RT planning practices is essential for standardizing treatment and improving outcomes.
  • This study surveyed radiation oncologists to assess RT planning for extremity STS.

Purpose of the Study:

  • To determine current patterns of practice in RT planning for extremity soft tissue sarcoma (STS).
  • To identify variations in contouring, planning, and quality control measures.
  • To highlight areas for potential standardization and future research in extremity STS RT.

Main Methods:

  • A survey was distributed to members of the Connective Tissue Oncology Society and Canadian Association of Radiation Oncology.
  • The survey focused on general practice patterns, contouring, planning, and quality control for extremity STS RT.
  • Data from 58 radiation oncologists across 12 countries were analyzed.

Main Results:

  • Most respondents (89.7%) work in academic centers, with 55.2% treating at least 20 extremity STS cases annually.
  • Pre-operative RT was used nearly twice as often as post-operative RT; CT simulation with MR fusion was common (94.6%).
  • Significant heterogeneity was observed in clinical target volume (CTV) contouring, use of normal soft tissue margins, and post-operative boost strategies for positive margins.

Conclusions:

  • While major RT planning aspects for extremity STS are similar, considerable variability exists in specific techniques like contouring margins and boost application.
  • The study highlights a preference for pre-operative over post-operative RT.
  • Identified practice variations underscore the need for further research to optimize RT strategies for extremity STS.