PMID- 18348188 OWN - NLM STAT- MEDLINE DCOM- 20080708 LR - 20131121 IS - 0022-4790 (Print) IS - 0022-4790 (Linking) VI - 97 IP - 6 DP - 2008 May 1 TI - A new limb salvage surgery in cases of high-grade soft tissue sarcoma using photodynamic surgery, followed by photo- and radiodynamic therapy with acridine orange. PG - 523-8 LID - 10.1002/jso.21025 [doi] AB - BACKGROUND: To maintain excellent limb function after tumor resection in patients with high-grade malignant sarcomas, we developed and established a new surgical adjuvant therapy using acridine orange (AO) after intra-lesional or marginal resection while sparing normal tissues of major nerves, vessels or bones adjacent to the tumor. METHOD: Our AO therapy procedure was combined with photodynamic surgery (PDS), photodynamic therapy (PDT) and radiodynamic therapy (RDT). In this study, 26 patients with primary high-grade soft tissue sarcomas were treated with AO therapy. RESULT: Results showed a low local recurrence rate (7.7%) and good local recurrence-free rate (88%) after AO therapy. Limb function of all patients was maintained at 100% of ISOLS criteria. CONCLUSION: Based on these results, we concluded that AO therapy is useful for local control after margin-positive tumor resection and for preserving excellent limb function in patients with high-grade soft tissue sarcomas. CI - (c) 2008 Wiley-Liss, Inc. FAU - Nakamura, Tomoki AU - Nakamura T AD - Department of Orthopaedic Surgery, Mie University Postgraduate School of Medicine, Tsu City, Japan. tomoki66@clin.medic.mie-u.ac.jp FAU - Kusuzaki, Katsuyuki AU - Kusuzaki K FAU - Matsubara, Takao AU - Matsubara T FAU - Matsumine, Akihiko AU - Matsumine A FAU - Murata, Hiroaki AU - Murata H FAU - Uchida, Atsumasa AU - Uchida A LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Surg Oncol JT - Journal of surgical oncology JID - 0222643 RN - 0 (Fluorescent Dyes) RN - F30N4O6XVV (Acridine Orange) SB - IM MH - Acridine Orange/*therapeutic use MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Bone Neoplasms/drug therapy/radiotherapy/*therapy MH - Child MH - Child, Preschool MH - Combined Modality Therapy MH - Female MH - Fluorescent Dyes/*therapeutic use MH - Humans MH - Infant MH - *Limb Salvage MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/prevention & control MH - *Photochemotherapy MH - Radiotherapy, Adjuvant MH - Sarcoma/drug therapy/radiotherapy/*therapy MH - Soft Tissue Neoplasms/drug therapy/radiotherapy/*therapy MH - Treatment Outcome MH - X-Ray Therapy EDAT- 2008/03/19 09:00 MHDA- 2008/07/09 09:00 CRDT- 2008/03/19 09:00 PHST- 2008/03/19 09:00 [pubmed] PHST- 2008/07/09 09:00 [medline] PHST- 2008/03/19 09:00 [entrez] AID - 10.1002/jso.21025 [doi] PST - ppublish SO - J Surg Oncol. 2008 May 1;97(6):523-8. doi: 10.1002/jso.21025.