Clinical Study
The Use of Radiation Therapy in the Management of Selected Patients with Atypical Lipomas
Table 1
Individual patient and treatment details.
| Sex | Age at diagnosis (Y) | Site | Initial management | Size of initial lesion | Time to LR/treatment of PD (M) | Treatment for progression/LR | Size of recurrent lesion | Total RT Dose (Gy)/fractions | Modality | FU (M) | Toxicity |
| F | 47 | Thigh | GTR | | 20 | Preop RT + GTR | ,
| 50/25 | Ph | 35.4 | | F | 76 | Thigh | GTR | | 20.2 | Preop RT + GTR | | 50/25 | Ph | 47.2 | Post-op wound infection requiring IV abx, Grade 1 edema | M | 65 | Forearm | GTR | | 36.7 | Preop RT +GTR | | 50/25 | Ph | 7.5 | | F | 73 | Thigh | GTR | | 124.2 | GTR + postop RT | | 66/33 | Ph | 79.8 | Grade 1 edema | F | 45 | Thigh | GTR | | 133.8 | GTR + postop RT | | 50/25 | Ph | 147.2 | | F | 39 | Thigh | Resection, followed by LR at 4 y, managed with GTR | Unknown | 16.3 | Preop RT + GTR | | 50/25 | Ph | 68.1 | | M | 46 | Thigh | Resection, followed by LR at 11 y, treated with re-excision | Unknown | 124.5 | Preop RT + GTR | | 50/25 | Ph | 3.7 | | F | 55 | Forearm | Resection, followed by LR at 2 y, treated with re-excision; followed by LR at 3 y, treated with re-excision | Unknown | 87.9 | GTR + brachytherapy | | 60/1 | Ir-192 | 148.9 | Grade 1 telangiectasia | M | 41 | Deltoid | STR + chemotherapy + re-excision | Unknown | 27.4 | Preop RT + GTR | | 50/25 | Ph | 21.3 | | F | 58 | Thigh | STR | | 58.1 | GTR + postop RT | Unknown | 61.2/34 | Ph | 65.1 | | M | 66 | Thigh | STR | | 46.3 | RT alone | | 70/35 | Ph + Pr | 48.7 | | F | 36 | Thigh | STR + postop RT | | N/A | N/A | N/A | 60/30 | Ph | 196.0 | Grade 2 sciatic neuropathy |
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F indicates female, M: male; Y: years; GTR: gross total resection; STR: subtotal resection; RT: radiation; N/A: not applicable; LR: local recurrence; PD: progressive disease; M: months; Gy: Gray; Ph: photons; Pr: protons.
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