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. 2015 Feb 9;33(20):2231–2238. doi: 10.1200/JCO.2014.58.5828

Table 4.

Treatment Parameters for Five In-Field Local Recurrences

Tumor Size (cm) Central Review
Postoperative Radiation Boost Radiation Review Score
Histologic Grade Histology Resection Status Target Volume Target Volume Dose Volume Analysis
3.7 3 Leiomyosarcoma 0 No Acceptable variation Per protocol
6.1 3 Malignant peripheral nerve sheath tumor, spindle cell 1 No Acceptable variation Unacceptable variation
7.2 3 Undifferentiated pleomorphic sarcoma 1 Yes Per protocol Per protocol
12.0 3 Undifferentiated pleomorphic sarcoma 1 Yes Unacceptable variation* Unacceptable variation
16.5 3 Pleomorphic leiomyosarcoma 0 No Unacceptable variation Per protocol

Abbreviations: GTV, gross tumor volume.

*

Unacceptable variation: gross tumor volume deviation unacceptable (includes edema). Clinical tumor volume deviation unacceptable (includes excessive subcutaneous tissue). Planning target volume deviation unacceptable (not adequate expansion per protocol), overall score not acceptable.

Unacceptable variation: GTV deviation unacceptable; slice 4.5, 3.5, and 2.5 cm GTV too tight anteriorly; GTV not covering tumor anteriorly compared with magnetic resonance imaging; overall score not acceptable.