Postoperative radiation may control this unwanted occurrence. The most used situation of this type of therapy is if positive tumor margins are discovered after resection. These margins can be labeled with clips at the time of surgery and radiotherapy can be directed precisely at this location. There is no proof of the benefits of postoperative radiotherapy. 30 Gy postop.
Patients appear to respond very well to chemotherapy.
The partial or complete response rate is high. Furthermore, studies show that preoperative chemotherapy does not seem to increase surgical morbidity. Treatment regimens typically include the use of more than one drug. Cisplatin based therapy is used in most trials. In addition, vindesine, bleomycin, mitoguazone, etoposide, or deoxorubicin are also used with cisplatin in varying combinations.