Thermo-chemo-radio-therapy in the combined treatment of locally advanced soft tissue sarcomas (STS)

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Abstract

118 patients with locally advanced STS examined and treated in MRRC were analyzed. In group 1 were included 31 patients treated by only surgery (S). The group 2 consisted of 33 patients treated with preoperative chemo-radiotherapy (CRT) followed by S. The group 3 included 22 patients received preoperative thermo-chemo-radiotherapy (TCRT) and S. The group 4 consisted of 32 patients, who received preoperative TCRT and S with intraoperative radiation therapy (IORT). Preoperative TCRT increased number of patients with stage III & IV of tumor therapeutic pathomorphism. TCRT and IORT didn't increase an incidence of complications and allowed to perform an increase organ-saving operations. None of the patients in group with TCRT had local recurrence during 3-5 years. The locoregional-recurrence-free-survival (LRFS), metastasis-free survival and overall survival rates (73-100, 56-88, 68-95%) were higher in group with combined treatment compared to first group (30, 20,5, 29%) respectively.

About the authors

ФГБУ Медицинский радиологический научный центр Минздравсоцразвития РФ

Author for correspondence.
Email: zubarev@mrrc.obninsk.ru
Russian Federation

ФГБУ Медицинский радиологический научный центр Минздравсоцразвития РФ

Russian Federation

ФГБУ Медицинский радиологический научный центр Минздравсоцразвития РФ

Russian Federation

ФГБУ Медицинский радиологический научный центр Минздравсоцразвития РФ

Russian Federation

ФГБУ Медицинский радиологический научный центр Минздравсоцразвития РФ

Russian Federation

ФГБУ Медицинский радиологический научный центр Минздравсоцразвития РФ

Russian Federation

A. L. Zubarev

FMMS Medical Radiological Research Centre MH &PD RF

Russian Federation

A. A. Kurilchik

FMMS Medical Radiological Research Centre MH &PD RF

Russian Federation

G. T. Kudryavtseva

FMMS Medical Radiological Research Centre MH &PD RF

Russian Federation

O. K. Kurpeshev

FMMS Medical Radiological Research Centre MH &PD RF

Russian Federation

A. L. Starodub- Tsev

FMMS Medical Radiological Research Centre MH &PD RF

Russian Federation

V. E. Ivanov

FMMS Medical Radiological Research Centre MH &PD RF

Russian Federation

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Copyright (c) 2011 ., ., ., ., ., ., Zubarev A.L., Kurilchik A.A., Kudryavtseva G.T., Kurpeshev O.K., Starodub- Tsev A.L., Ivanov V.E.

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