TY - JOUR
T1 - Integration of Radiation Oncology with Surgery as Combined-Modality Treatment
AU - Gunderson, Leonard L.
AU - Ashman, Jonathan B.
AU - Haddock, Michael G.
AU - Petersen, Ivy A.
AU - Moss, Adyr
AU - Heppell, Jacques
AU - Gray, Richard J.
AU - Pockaj, Barbara A.
AU - Nelson, Heidi
AU - Beauchamp, Christopher
PY - 2013/7/1
Y1 - 2013/7/1
N2 - Integration of surgery and radiation (external beam, EBRT; intraoperative, IORT) has become more routine for patients with locally advanced primary cancers and those with local-regional relapse. This article discusses patient selection and treatment from a more general perspective, followed by a discussion of patient selection and treatment factors in select disease sites (pancreas cancer, colorectal cancer, retroperitoneal soft-tissue sarcomas). Outcomes with combined modality treatment (surgery, EBRT alone or with concurrent chemotherapy, IORT) are discussed. The ultimate in contemporary integration of radiation and surgery is found in patients who are candidates for surgery plus both EBRT and IORT.
AB - Integration of surgery and radiation (external beam, EBRT; intraoperative, IORT) has become more routine for patients with locally advanced primary cancers and those with local-regional relapse. This article discusses patient selection and treatment from a more general perspective, followed by a discussion of patient selection and treatment factors in select disease sites (pancreas cancer, colorectal cancer, retroperitoneal soft-tissue sarcomas). Outcomes with combined modality treatment (surgery, EBRT alone or with concurrent chemotherapy, IORT) are discussed. The ultimate in contemporary integration of radiation and surgery is found in patients who are candidates for surgery plus both EBRT and IORT.
KW - Combined modality treatment
KW - Intraoperative radiation
KW - Patient selection criteria
KW - Surgery and radiation integration
UR - http://www.scopus.com/inward/record.url?scp=84876834920&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84876834920&partnerID=8YFLogxK
U2 - 10.1016/j.soc.2013.02.003
DO - 10.1016/j.soc.2013.02.003
M3 - Review article
C2 - 23622071
AN - SCOPUS:84876834920
SN - 1055-3207
VL - 22
SP - 405
EP - 432
JO - Surgical Oncology Clinics of North America
JF - Surgical Oncology Clinics of North America
IS - 3
ER -