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response and late tissue changes evolve over months; depends on surgery timing and imaging assessment."},"fly_home_after_days":{"min":32,"max":46,"unit":"days","qualifier":"Travel home is possible after the final fraction; surgery or assessment may require a return trip."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":35,"unit":"days","qualifier":"Weekly on-treatment review of skin reactions and tolerance during a conventional 5-week course, counted from the first fraction."}},{"purpose":"assessment","requirement":"routine","after":{"min":65,"max":95,"unit":"days","qualifier":"Approximately 4-8 weeks after completing a 5-week preoperative course, counted from the first fraction; used for response and surgical planning."}}],"indications":["Large or deep high-grade limb/trunk soft tissue sarcoma, with surgery","Close or positive margins when re-resection is not feasible","Selected retroperitoneal sarcoma","Unresectable or metastatic sarcoma for local or palliative control","Unresectable or incompletely resected chordoma or chondrosarcoma"],"main_risks":["Acute skin reaction (erythema, dry or moist desquamation) and fatigue","Wound healing complications, particularly after preoperative radiotherapy","Late fibrosis, edema and joint stiffness","Bone fracture in irradiated bone","Damage to adjacent organs depending on site","Rare secondary radiation-induced malignancy years later"],"pain":"Delivery itself is painless; discomfort arises from positioning or from skin and mucosal reactions later in the course.","preparation":["Histological diagnosis and staging imaging, with multidisciplinary review","CT simulation (sometimes MRI fusion), immobilization, and planning before treatment","Skin care advice and assessment of prior irradiation and comorbidities"],"recovery_timeline":[{"phase":"During treatment (about 5 weeks for a conventional course)","description":"Daily outpatient fractions on weekdays; skin reaction and fatigue gradually build up.","restrictions":["Skin care in the treatment field","Avoid sun exposure and irritation of the field"]},{"phase":"Early weeks after completion","description":"Acute skin reaction peaks then settles; in preoperative treatment, surgery commonly follows several weeks later.","restrictions":["Wound and skin care as instructed by the team"]},{"phase":"Long-term surveillance","description":"Periodic clinical and imaging follow-up for recurrence and late effects.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Time for acute skin reaction and fatigue to settle after the last fraction; limb rehabilitation follows surgery."},"result_longevity":"Local control is typically durable, with most recurrences occurring within the first 2-5 years. Late fibrosis and other tissue changes are permanent, and surveillance continues for many years.","revision_rate_pct":null,"scars":"No surgical incision from radiotherapy itself; skin pigmentation change or fibrosis in the field may remain.","sessions_or_stages":{"sessions":{"min":25,"max":33,"unit":"visits","qualifier":"Conventional 2 Gy weekday fractions: 25 preoperatively, or 30-33 with postoperative boost."},"stages":[{"code":"daily_fractions_start","label":"First fraction (planning and simulation done beforehand)","after":{"min":0,"max":0,"unit":"days","qualifier":"Counted from the first fraction."}},{"code":"final_fraction","label":"Last fraction of the course","after":{"min":32,"max":46,"unit":"days","qualifier":"About 5 weeks preoperatively, about 6 weeks with postoperative boost, counted from the first fraction."}}],"qualifier":"Standard external beam radiotherapy for adult extremity/trunk soft tissue sarcoma; follow-up visits not counted."},"success":{"metric":"Local control of extremity soft tissue sarcoma","value":90,"unit":"percent","horizon":"5 years","population":"Adults with high-grade extremity or trunk soft tissue sarcoma, radiotherapy plus limb-sparing surgery","evidence_status":"limited"},"techniques":[{"name":"Preoperative external beam radiotherapy (IMRT/IGRT), about 50 Gy in 25 fractions","suits_whom":"Adult localized extremity or trunk soft tissue sarcoma needing limb-sparing surgery.","recovery":"Surgery usually follows several weeks after completion; higher wound complication risk."},{"name":"Postoperative external beam radiotherapy (about 50 Gy plus boost, often 60-66 Gy total)","suits_whom":"Patients operated without prior radiotherapy, especially with adverse margins.","recovery":"Starts after wound healing; longer course; higher late fibrosis risk."},{"name":"Proton beam therapy","suits_whom":"Selected tumours near critical structures, such as chordoma or retroperitoneal sites.","recovery":"Similar outpatient course; availability limited."},{"name":"Carbon ion therapy","suits_whom":"Radioresistant tumours such as chordoma or chondrosarcoma.","recovery":"Similar outpatient course; available at few centres."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Per daily fraction, including positioning and imaging; beam-on time is a few minutes."},"initial_assessment_documents":["Biopsy and pathology report with tumour grade","MRI of the tumour site","Staging chest CT report","Operative report (if available)","Recent oncology or tumour board summary"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Weekday fractions need a 5-7 week stay; surgery or assessment may need a second trip."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=lucevaa-terapia-pri-sarkome/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":99,"alias":"sarcoma","name":"السرقوم ورم خبيث"},{"id":258,"alias":"leiomyosarkom","name":"Leiomyosarkoma"},{"id":398,"alias":"osteosarcoma","name":"الساركوما العظمية العظمية"},{"id":399,"alias":"ewing-sarcoma","name":"ساركومة يوينغ"},{"id":400,"alias":"rhabdomyosarcoma","name":"العضلية المخططة"}],"rendersOffersList":false}