Radiation therapy and hyperthermia improve the oxygenation of human soft tissue sarcomas.

Published

Journal Article

The adverse prognostic impact of tumor hypoxia has been demonstrated in human malignancy. We report the effects of radiotherapy and hyperthermia (HT) on soft tissue sarcoma oxygenation and the relationship between treatment-induced changes in oxygenation and clinical treatment outcome. Patients receiving preoperative radiotherapy and HT underwent tumor oxygenation measurement pretreatment after the start of radiation/pre-HT and one day after the first HT treatment. The magnitude of improvement in tumor oxygenation after the first HT fraction relative to pretreatment baseline was positively correlated with the amount of necrosis seen in the resection specimen. Patients with <90% resection specimen necrosis experienced longer disease-free survival than those with > or = 90% necrosis. Increasing levels of tumor hypoxia were also correlated with diminished metabolic status as measured by P-31 magnetic resonance spectroscopy.

Full Text

Duke Authors

Cited Authors

  • Brizel, DM; Scully, SP; Harrelson, JM; Layfield, LJ; Dodge, RK; Charles, HC; Samulski, TV; Prosnitz, LR; Dewhirst, MW

Published Date

  • December 1996

Published In

Volume / Issue

  • 56 / 23

Start / End Page

  • 5347 - 5350

PubMed ID

  • 8968082

Pubmed Central ID

  • 8968082

Electronic International Standard Serial Number (EISSN)

  • 1538-7445

International Standard Serial Number (ISSN)

  • 0008-5472

Language

  • eng