What would be the approach for radiation treatment of a sarcoma of a finger?

The correct approach for definitive management is an amputation or perhaps, if possible, a digit-sparing resection with preoperative RT. As always, the crux with organ-sparing approaches is that we need to leave an organ that is both disease-free and functional, and I am skeptical that definitive-in...

Whether salvaging the finger is feasible depends on how large the tumor is and its location in the finger, proximal or distal. It may also depend on whether "the finger" is the thumb, where preservation may have more functional significance. I've successfully treated sarcomas on the hands and feet u...

It should be noted that the patient is highly resistant to amputation despite it being recommended. The affected digit is the middle finger.

This is not something I want to do, but I told him I would see if anyone else has done this.

Please refer to my previous answer on RT to the extremities. Specific details were emailed back to the section editor.