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. 2016 Sep;13(3):373–383. doi: 10.20892/j.issn.2095-3941.2016.0028

2.

Key differences in preoperative and postoperative RT

Item Preoperative RT Postoperative RT
Dose Lower dose (50 Gy) Higher dose (60-66 Gy)
Treatment volume Smaller treatment volume Larger treatment volume
Rate of would complications More acute wound complications (35%) Wound complications up to 17%
Features Offers the possibility to perform translational research on the clinicopathological behaviour of individual sarcoma subtypes to RT Increase late RT toxicities:increased fibrosisincreased edemaincreased joint stiffness
Rarely, may provide the option of omission of RT when adequate margins are achieved. Ideally this should be discussed in a multidisciplinary meeting