Radiotherapy Side Effect, Retroperitoneal Sarcoma, Soft Tissue Sarcoma, Stereotactic Ablative Radiotherapy, Ultra-hypofractionated Radiotherapy
Conditions
Keywords
stereotactic ablative radiotherapy, hypofractionated radiotherapy, retroperitoneal sarcoma, soft tissue sarcoma, peri-operative complications
Brief summary
To investigate the feasibility and peri-operative complications of preoperative hypo-fractionated radiotherapy followed by surgery for retroperitoneal sarcoma
Interventions
stereotactic ablative radiotherapy with 25 to 50Gy in five fractions given preoperatively
Sponsors
Study design
Eligibility
Inclusion criteria
* Primary soft tissue sarcoma of retroperitoneal or infra-peritoneal spaces of pelvis * Sarcoma not originated from bone structure, abdominal or gynecological viscera * All disease can be included safely within one radiotherapy field * Absence of extension through the sciatic notch or across the diaphragm * Histologically proven, excluding the following subtypes: Gastro-intestinal stromal tumors (GIST), rhabdomyosarcoma, PNET or other small round blue cells sarcoma, osteosarcoma or chondrosarcoma, aggressive fibromatosis, sarcomatoid or metastatic carcinoma * ECOG performance status 0 to 2 * American Society of Anesthesiologist (ASA) score ≤2 * Normal renal function: Calculated Creatinine Clearance ≥50ml/min(by Cockcroft-Gault formula)and functional contralateral kidney by differential renal isotope scan * Normal bone marrow and hepatic function. * Contraception was needed for female patients of child-bearing age, or male patients whose partner had child-bearing age * expected life expectancy longer than 5 years * Written consent form was given prior to treatment * Can safely be treated by radiotherapy and surgery
Exclusion criteria
* metastatic disease * Tumor was previously treated by radiotherapy * Involvement of liver, pancreatic head or duodenum
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peri-operative complications | From surgery date up to 7 days later | The proportion of patients who suffer from |
Countries
China