Place of radiotherapy in the treatment of synovial sarcoma
Journal Article
·
· Int. J. Radiat. Oncol., Biol. Phys.; (United States)
This paper reviews 36 patients with synovial sarcoma; 18 were referred within three months of surgery. None had undergone en bloc excision and all were treated with post-operative radiotherapy. Local control and survival were analyzed with respect to Tumor Node Metastasis Classification, histology, site of primary and surgical procedure. Eight patients with T1-2N0M0 tumors were alive and well (minimum two year follow-up) following excision and radiotherapy; 7 had a normally functional extremity. In contrast, only one of 8 patients with T3N0M0 tumors is alive and well. Seven of 8 patients with well or moderately differentiated histology were alive and well whereas no patient with poorly differentiated histologies survived. Six of 7 patients were alive and well if their tumor was distal to the elbow or knee whereas none of those who had a primary thigh synovial sarcoma survived. Eighteen patients were referred with recurrent disease and 2 were salvaged. A management policy is proposed for synovial sarcoma with the integrated use of surgery, radiation and chemotherapy; it emphasizes optimal cure rates and a functional extremity reserving amputation for salvage.
- Research Organization:
- Princess Margaret Hospital, Toronto, Ontario
- OSTI ID:
- 6643404
- Journal Information:
- Int. J. Radiat. Oncol., Biol. Phys.; (United States), Journal Name: Int. J. Radiat. Oncol., Biol. Phys.; (United States) Vol. 7:1; ISSN IOBPD
- Country of Publication:
- United States
- Language:
- English
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560151 -- Radiation Effects on Animals-- Man
62 RADIOLOGY AND NUCLEAR MEDICINE
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
ANIMAL CELLS
BIOLOGICAL EFFECTS
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BODY
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CHEMOTHERAPY
DISEASES
DOSES
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NEOPLASMS
NUCLEAR MEDICINE
ORGANS
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RADIATION DOSES
RADIATION EFFECTS
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RADIOSENSITIVITY
RADIOTHERAPY
SARCOMAS
SKELETON
SURGERY
SURVIVAL CURVES
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