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Table 3 Advantages and disadvantages of pre- and postoperative radiotherapy

From: Soft tissue sarcoma of the extremities: pending questions on surgery and radiotherapy

 

Advantages

Disadvantages

Preoperative Radiotherapy

• Smaller RT volume

• Easier resection

• Better oxygenations and vascularization of the area = > larger effect

• Reduction of late complications

• Wound complications

• Postponing surgery

• Fibrosis that could hamper surgery

Postoperative Radiotherapy

• Better staging

• Less scar complications

• Large RT Volumes

• More late complications (fibrosis, joint stiffness, oedema)

• Need for demarcation of the operation field (clips)