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For patients with myxoid liposarcoma who needed upfront surgery and had an indication for PORT, would you consider dose reduction/hypofractionation of adjuvant radiation?

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2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Dana-Farber Cancer Institute/ Brigham and Women's Hospital

Great question. This touches on two distinct but related concepts:

  1. Dose Reduction for Myxoid Liposarcoma: The radiosensitivity of myxoid LPS is well established, and dose reduction has been studied, but almost exclusively in the preoperative setting. Prospective data support preoperative doses as lo...

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Mednet Member
Mednet Member
Radiation Oncology · The Ohio State University - James Cancer Hospital and Solove Research Institute

No. I would use this opportunity not to extrapolate DOREMY to a setting it does not address, but rather to discuss with the surgeon regarding the need to refer such patients for multi-disciplinary evaluation prior to surgery.

Regarding conventionally fractionated SIB postop treatment, I would also no...

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