Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report

Andrea Vavassori; Elisabetta Pennacchioli; Matteo Augugliaro; Stefano Durante; Samantha Dicuonzo; Gian Marco Orsolini; Pierpaolo Prestianni; Raffaella Cambria; Stefania Comi; Giovanni Mazzarol; Federica Cattani; Roberta Lazzari; Roberto Orecchia; Barbara Jereczek-Fossa

doi:10.5114/jcb.2021.106204

eISSN: 2081-2841
ISSN: 1689-832X

Journal of Contemporary Brachytherapy

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3/2021
vol. 13

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abstract:

Case report

Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report

Andrea Vavassori

¹

,

Elisabetta Pennacchioli

²

,

Matteo Augugliaro

¹

,

Stefano Durante

¹

,

Samantha Dicuonzo

¹

,

Gian Marco Orsolini

²

,

Pierpaolo Prestianni

²

,

Raffaella Cambria

³

,

Stefania Comi

³

,

Giovanni Mazzarol

⁴

,

Federica Cattani

³

,

Roberta Lazzari

¹

,

Roberto Orecchia

⁵

,

Barbara Alicja Jereczek-Fossa

^{1, 6}

Department of Radiotherapy, IEO European Institute of Oncology IRCCS, Milan, Italy
Division of Sarcoma and Melanoma, IEO European Institute of Oncology IRCCS, Milan, Italy
Unit of Medical Physics, IEO European Institute of Oncology IRCCS, Milan, Italy
Department of Pathology and Laboratory Medicine, IEO European Institute of Oncology IRCCS, Milan, Italy
Scientific Directorate, IEO European Institute of Oncology IRCCS, Milan, Italy
University of Milan, Department of Oncology and Hemato-Oncology, Milan, Italy

J Contemp Brachytherapy 2021; 13, 3: 338–346

DOI: https://doi.org/10.5114/jcb.2021.106204

Online publish date: 2021/05/18

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AMA

Vavassori A, Pennacchioli E, Augugliaro M, et al. Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report. Journal of Contemporary Brachytherapy. 2021;13(3):338-346. doi:10.5114/jcb.2021.106204.

APA

Vavassori, A., Pennacchioli, E., Augugliaro, M., Durante, S., Dicuonzo, S.,  & Marco Orsolini, G. et al. (2021). Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report. Journal of Contemporary Brachytherapy, 13(3), 338-346. https://doi.org/10.5114/jcb.2021.106204

Chicago

Vavassori, Andrea, Elisabetta Pennacchioli, Matteo Augugliaro, Stefano Durante, Samantha Dicuonzo, Gian Marco Orsolini,  and Pierpaolo Prestianni et al. 2021. "Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report". Journal of Contemporary Brachytherapy 13 (3): 338-346. doi:10.5114/jcb.2021.106204.

Harvard

Vavassori, A., Pennacchioli, E., Augugliaro, M., Durante, S., Dicuonzo, S., Marco Orsolini, G., Prestianni, P., Cambria, R., Comi, S., Mazzarol, G., Cattani, F., Lazzari, R., Orecchia, R.,  and Jereczek-Fossa, B. (2021). Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report. Journal of Contemporary Brachytherapy, 13(3), pp.338-346. https://doi.org/10.5114/jcb.2021.106204

MLA

Vavassori, Andrea et al. "Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report." Journal of Contemporary Brachytherapy, vol. 13, no. 3, 2021, pp. 338-346. doi:10.5114/jcb.2021.106204.

Vancouver

Vavassori A, Pennacchioli E, Augugliaro M, Durante S, Dicuonzo S, Marco Orsolini G et al. Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report. Journal of Contemporary Brachytherapy. 2021;13(3):338-346. doi:10.5114/jcb.2021.106204.

Soft tissue sarcomas of the foot are extremely rare and can therefore be misdiagnosed as benign diseases, and be prematurely removed with an unplanned excision. The standard treatment is a wide local excision with an addition of radiotherapy as an alternative to a radical resection (e.g., below-knee or foot amputation). We report on a patient with primary malignant peripheral nerve sheath tumor in the foot plantar soft tissue, who had no evidence of the disease and no severe late toxicity higher than grade 2, 40 months after receiving amputation of toes and adjuvant interstitial high-dose-rate brachytherapy (HDR-BT). To the best of our knowledge, only a few cases were treated with HDR-BT with this scenario. From our findings, HDR-BT could be a safe and quick treatment option for these types of lesions.

keywords:

Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report

interstitial HDR brachytherapy, foot soft tissue sarcoma, MPNST, lower extremity