Modern Radiotherapy in the Complex Management of Soft Tissue and Bone Sarcomas in Adults – Current Overview and the Author‘s Experience

Česká verzia

Authors: R. Soumarová ¹; Z. Lovasová ¹; S. Czudek ²; M. Škrovina ²; L. Adamčík ²; M. Straka ²
Authors place of work: Oddělení radioterapie a onkologie, Komplexní onkologické centrum Nový Jičín primář: doc. MUDr. Renata Soumarová, Ph. D. ¹; Chirurgické oddělení nemocnice Nový Jičín, Komplexní onkologické centrum Nový Jičín primář: MUDr. Stanislav Czudek, CSc. ²
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 7, s. 387-393.
Category: Monothematic special - Original

Summary

Soft tissue sarcomas and primary bone tumours constitute very heterogenic group. Gold treatment standard is surgery in most of them. Nowadays the combination surgery with radiotherapy is preferred, because thanks new radiotherapeutic technology is possible to apply very high dose of radiation which necessary for local control of these tumours.

The goal of our article is to describe new possibilities of radiotherapy, including neoadjuvant and adjuvant setting, intraoperative radiotherapy, interstitial brachytherapy and the combination with surgery.

But very important is multidisciplinary cooperation to until recently in prognostic bad group of patients, concentration these patients to centers with modern technique and clinical experience with treatment of soft tissue sarcomas and bone tumours.

Key words:
soft tissue sarcomas – primary bone tumours – neoadjuvant radiotherapy – adjuvant radiotherapy – intraoperative radiotherapy – intertitial brachytherapy

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