What treatment volumes and dose do you use for postoperative soft tissue sarcoma of the scalp with negative margins?
When is postoperative radiation indicated, even when negative margins are achieved, for soft tissue sarcoma of the scalp? How does skin graft/reconstruction affect radiation planning? For contour, do you use a similar approach to extremity/trunk with 3-4 cm CTV for initial and then cone down to 1.5-2 cm?
1 Answer
Mednet Member
Radiation Oncology · Dana-Farber Cancer Institute/ Brigham and Women's Hospital
Answered on
While there is institutional variation in practice, our standard has been to extend extremity/trunk paradigms to the head and neck region, including the scalp. For negative margins for a scalp sarcoma, we typically use margins of 3-3.5 cm for CTV for the first course and then 1.5-2 cm CTV for the co...
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