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Would you recommend pre-op radiation for an operable recurrent well differentiated retroperitoneal liposarcoma with abutment of the right kidney?

The interval since prior resection is between 3-5 years. Additionally, there is some evidence of nodal involvement but no evidence of metastatic disease. So, likewise, would there be any role for chemotherapy in this setting?
4 Answers
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Radiation Oncology · Cleveland Clinic Florida
Answered on

Thank you for this question.

Per the STRASS trial (Bonvalot S, Gronchi A, Le Pechoux C, et al. Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019) 11001-11001), preoperative radiation overall did not impact abdominal recurrence free survival. However, in the exploratory analysis, the lipos...

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Surgical Oncology · Temple University
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Yes.

For recurrent well differentiated liposarcoma we would consider preoperative radiation therapy. We generally wait 6-8 weeks and then resect which would include a nephrectomy.

Based on Strass 1: STRASS failed to demonstrate a benefit of pre-operative RT for RPS. In the exploratory analysis, pre...

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Radiation Oncology · Emeritus Professor
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At Mayo Clinic Rochester and Mayo Clinic Arizona, preoperative irradiation followed by restaging, gross total resection (including the kidney in the above patient) and IORT to narrow or microscopically positive margins with electrons or HDR brachytherapy was the preferred approach for patients with ...

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Radiation Oncology · University of Florida
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Yes

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