TABLE 1.
Characteristic | N | % or Median (Range) | |
---|---|---|---|
Age | 28 | 13.4 (7–19) years | |
Gender | Male | 17 | 61% |
Female | 11 | 39% | |
Site of primary tumor | Head/neck | 6 | 21% |
Spine/trunk | 4 | 14% | |
Extremity | 12 | 43% | |
Pelvis | 6 | 22% | |
Primary tumor size | 28 | 5.2 (1.1–24.0) cm | |
AJCC stage | IA | 1 | 4% |
IIA | 10 | 36% | |
IIB | 7 | 25% | |
IVA | 10 | 35% | |
Surgery for primary tumor | Yes | 22 | 79% |
No | 6 | 21% | |
Primary surgical margins | Positive | 2 | 9% |
Negative | 20 | 91% | |
Histologic response | <90% | 8 | 36% |
≥90% | 11 | 50% | |
N/A | 3 | 14% | |
Disease course @ RT | Primary | 16 | 57% |
Recurrent | 12 | 43% | |
Indications for RT* | Unresectable primary | 6 | 21% |
Positive/close margins | 12 | 43% | |
Poor histologic response | 5 | 14% | |
Metastatic consolidation | 9 | 32% | |
Irradiated site | Head/neck | 5 | 18% |
Spine/trunk | 6 | 21% | |
Extremity | 7 | 25% | |
Pelvis | 8 | 29% | |
Lung | 2 | 7% | |
Radiotherapy | Dose/fraction | 28 | 2.7 (1.1–8.0) Gy |
Total EBRT dose | 25 | 59.4 (40.0–76.0) Gy | |
Total brachy dose | 3 | 34.0 (32.0–40.5) Gy | |
RT technique | 3D CRT | 14 | 50% |
IMRT (SBRT) | 10 (4) | 36% (14%) | |
Brachy | 3 | 11% | |
IMPT | 1 | 3% |
RT, radiation therapy; EBRT, external beam radiation therapy; 3D CRT, 3D conformal radiotherapy; Brachy, brachytherapy; IMRT, intensity-modulated radiotherapy; IMPT, intensity-modulated proton therapy; N/A, not available;
Indications for RT for 5 patients included both poor histologic response and positive/close margins.