CAJ | 학술논문

软组织肉瘤经局部扩大切除术加放疗局部复发率在5％～20％.局部复发软组织肉瘤的最佳治疗方案应该是个体化的,再次治疗的方案包括局部扩大切除加术后放疗.放疗技术主要包括外照射、近距离放疗、术中电子线放疗.最终,局部控制率为37％～ 100％.但每种放疗技术都有可能产生严重不良反应,对于一些选择性患者,再放疗也许是不必要的.
연조직육류경국부확대절제술가방료국부복발솔재5％～20％.국부복발연조직육류적최가치료방안응해시개체화적,재차치료적방안포괄국부확대절제가술후방료.방료기술주요포괄외조사、근거리방료、술중전자선방료.최종,국부공제솔위37％～ 100％.단매충방료기술도유가능산생엄중불량반응,대우일사선택성환자,재방료야허시불필요적.
The incidence of local recurrence after wide local excision and radiation of soft tissue sarcoma (STS) ranges from 5％ to 20％.The optimal management of locally recurrent STS must be individualized.Approaches for retreatment include wide local re-excision followed by a variety of radiation which include external-beam radiation,brachytherapy and intraoperative electron radiotherapy.Following retreatment,the likelihood of ultimate local control ranges from 37％ to 100％.However,each radiation technique could produce severe side effects,and so for selected patients,repeat irradiation may be unnecessary.