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Treatment of Epithelioid Sarcoma at the Royal Marsden Hospital

机译:皇家马斯登医院治疗上皮样肉瘤

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Purpose:The aim of this study was to assess treatment and outcome with respect to clinical and pathological features.Patients and methods:Thirty-nine patients were identified (range 7–66 years, mean 23). Initial treatment comprised localexcision in 11 patients and wide excision in 14. Post-operative external beam radiotherapy was prescribed in 22 patientswith a total dose of 60 Gy, delivered in two phases.Results:The cause-specific survival for the entire group was 79, 63, 56 and 45% at 1, 3, 5 and 10 years, respectively. A distallimb location was associated with a better prognosis than proximal limb location (P= 0.04).Conclusions:Our data favour treatment with wide functional excision followed by radical dose radiotherapy in attempt tominimize risk of local recurrence, especially when primary tumours are bigger than 3 cm. Our data also suggest the sametreatment for local recurrence, when technically possible, to avoid amputation.
机译:目的:本研究的目的是就临床和病理特征评估治疗和预后。患者与方法:确定了39例患者(7-66岁,平均23岁)。初始治疗包括11例局部切除和14例广泛切除。22例患者术后均接受外照射放射疗法,总剂量为60 Gy,分两个阶段进行。结果:整个组的因因生存率是79,在1、3、5和10年时分别为63、56和45%。结论:我们的数据支持广泛的功能切除,然后进行根治性放射治疗,以尽量减少局部复发的风险,尤其是当原发肿瘤大于3时,我们的数据支持进行广泛的功能切除治疗。厘米。我们的数据还建议在技术上可行的情况下,对局部复发进行相同的治疗,以避免截肢。

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