TY  - JOUR
AB  - Radiation therapy (RT) for extremity soft tissue sarcoma is associated with lymphedema risk. In this study, we analyzed the influence of lymph-sparing volume on the lymphedema occurrence in patients who received adjuvant extremity RT. The lymph-sparing quotient (LSQ) was calculated by dividing the lymph-sparing volume by the total extremity volume with double weightingfor the narrowest lymph-sparing region. A total of 34 patients were enrolled in this analysis. The median applied total radiation dose was 66.3 Gy in 36 fractions. Acute lymphedema appeared in 12 patients (35%). Most of them (n = 8) were lymphedema grade 1 and five patients had grade 2 to 3 lymphedema. Chronic lymphedema appeared in 22 patients (65%). 17 of these patients had at least a grade 2 lymphedema. In 13 of 14 patients with an LSQ ≤ 0.2 and 11 of 20 patients with an LSQ > 0.2, an acute or chronic lymphedema ≥ grade 2 was observed. A Kaplan–Meier Analysis of the two groups with the endpoint of a two-year lymph edema-free survival (=2-YLEFS) was estimated with an univariate, significant result (2-YLEFS LSQ ≤ 0.2 vs. LSQ > 0.2: 0% vs. 39%; p = 0.006; hazard ratio LSQ ≤ 0.2 vs. > 0.2 2-YLEFS 2.822 (p = 0.013); 95% confidence interval (CI): 1.24–6.42). Maximizing the potential oncologically-justifiable lymph-sparing volume should be considered to reduce the risk of high-grade lymphedema when applying RT to extremities.
AU  - Sarif, Iqbal
AU  - Elsayad, Khaled
AU  - Elsayad, Khaled Abdelsalam Mohamed Shahereldin
AU  - Daniel, Rolf
AU  - Kittel, Christopher
AU  - Gosheger, Georg
AU  - Wardelmann, Eva
AU  - Haverkamp, Uwe
AU  - Haverkamp, U.
AU  - Eich, Hans-Theodor
AU  - Eich, Hans Theodor
AU  - Eich, Hans Theodor
AU  - Eich, Hans Theodor
DA  - 2021-04-27
DO  - 10.17879/62069515052
KW  - radiotherapy
KW  - soft tissue sarcoma
KW  - lymphedema
KW  - toxicity
KW  - personalized treatment
KW  - risk-based treatment
LA  - eng
N1  - Cancers 13 (2021) 9, 2113, 1-12
N1  - Finanziert durch den Open-Access-Publikationsfonds der Westfälischen Wilhelms-Universität Münster (WWU Münster).
PY  - 2021-04-27
TI  - The Lymph-Sparing Quotient: A Retrospective Risk Analysis on Extremity Radiation for Soft Tissue Sarcoma Treatment
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:6-12059483101
Y2  - 2024-11-22T04:43:49
ER  -