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Technical illustration of Volumetric arc conformal radiotherapy planning in a case of paratesticular sarcoma

Publication Type : Journal Article

Publisher : J Radiother Pract.

Source : J Radiother Pract. 2021

Url : https://www.cambridge.org/core/journals/journal-of-radiotherapy-in-practice/article/abs/technical-illustration-of-volumetric-arc-conformal-radiotherapy-planning-in-a-case-of-paratesticular-sarcoma/4350253A5C1DE0CFAC2743D739E6FE1B

Campus : Faridabad

Year : 2021

Abstract : Introduction: Paratesticular sarcoma are extremely rare malignant tumours. Unlike other sites, they tend to be lower grade and have higher propensity of lymphatic spread. They tend to fail locally and occasionally in the regional lymph nodes. In the absence of target volume delineation guidelines and technical illustration of conformal planning, we have made an attempt to illustrate conformal planning methodology and define target volume based on current evidence in a case of paratesticular sarcoma. Methods: We are presenting a case of 62-year-old male who presented with 15-cm scrotal swelling and underwent high inguinal orchidectomy with ligation of spermatic cord. Histopathology presented a well-differentiated leiomyosarcoma of epididymis. Post-operative radiotherapy target volume included the tumour bed, ipsilateral inguinal nodes and lower pelvic nodes as the clinical target volume. Conclusion: Adjuvant radiotherapy using advanced delivery technique such as volumetric arc technique can provide good dose distribution with good sparing of organs at risk. The downside of conformal radiation delivery is that it is a resource-intensive and has no established target volume delineation guidelines.

Cite this Research Publication : Gupta A, Pandey R, Sharma S, Ghosh V, Dhamija E, Barwad A, et al. Technical illustration of Volumetric arc conformal radiotherapy planning in a case of paratesticular sarcoma. J Radiother Pract. 2021

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