What is the role of postoperative radiation therapy after complete resection of a high grade spermatic cord sarcoma?

I agree with the previous answers to the extent that the role of radiation therapy in this disease entity is not established, as there is no hard data on which to base a decision. But I would recommend radiation therapy in this situation while providing the appropriate caveats to the patient as to t...

Great question and a challenging case. I would lean toward recommending radiotherapy but would discuss the pros and cons as it is not unreasonable to omit in a patient who had an excellent surgery and would follow up closely. It would be important to understand the patient's performance status/comor...

As noted above, these are challenging cases. I explain to patients that there may be a local recurrence benefit to RT; however, there can be significant toxicity with these cases and long term morbidity which should be discussed.

A few other considerations here:

In my experience and in the literature, the majority of spermatic cord sarcomas are liposarcomas, often of the well-differentiated variety. These can be reasonably observed, but we sometimes offer radiation after resection of a locally recurrent well-differentiated l...

What if the patient also had regional nodal disease, would you treat then as well, and which nodal stations would you include?