Lesiones ocupantes de espacio no herniarias de la pared abdominal: visión del oncólogo/radioterapeuta

Abstract

The focus of treatment of tumours of the abdominal wall should be multidisciplinary. Surgical excision with adequate margins is still the treatment of choice for these tumours. The role of radiation therapy remains controversial in desmoid tumours, since the discussion continues after surgery whether to administer it only to affected edges or to recurrent ones. The RT can be valuable in situations of inoperability or by the extension and tumour infiltration anesthesia or contraindications of any reason. In the RT wall sarcomas has its indication excised with affection edge or those of a size >5 cm or those with a moderate or high degree of differentiation. In port site metastases, the main treatment is surgical, RT is used only in positive margins. In the dermatofibrosarcoma protuberans, as in the previous tumours, treatment of choice is the surgical. Radiotherapy can used in nonsurgical patients for medical reasons or in cases of positive microscopical margin.