PMID- 29885811 OWN - NLM STAT- MEDLINE DCOM- 20190201 LR - 20190201 IS - 1873-1597 (Electronic) IS - 1572-1000 (Linking) VI - 23 DP - 2018 Sep TI - Long-term clinical outcome in patients with high-grade soft tissue sarcoma who were treated with surgical adjuvant therapy using acridine orange after intra-lesional or marginal resection. PG - 165-170 LID - S1572-1000(18)30082-6 [pii] LID - 10.1016/j.pdpdt.2018.06.001 [doi] AB - BACKGROUND: We investigated the long-term clinical efficacy of acridine orange (AO) therapy on the inhibition of local recurrence after marginal or intra-lesional tumor resection in high-grade soft tissue sarcomas (STSs). METHODS: Our study consisted of 48 patients with STSs who received AO therapy after marginal or intra-lesional resection. The median and mean follow-up durations were 76 and 78 months, respectively. Our AO therapy procedure was combined with photodynamic surgery, photodynamic therapy, and radiodynamic therapy. RESULTS: There were 25 men and 23 women, with a mean age of 46 years. The average tumor size at surgery was 8.5 cm. At the last follow-up, 11 patients developed local recurrence. The 5- and 10-year local recurrence-free rates were 78.9% and 73.3%, respectively. In multivariate analysis, tumor size remained significant for local control. None of the patients developed systemic or local complications. All patients recovered activities of daily life before AO therapy. CONCLUSION: AO therapy can be performed in safety and may be a useful therapy for acquiring long-term local control in patients with high-grade STSs. Tumor size is an important factor for the indication of AO therapy. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Nakamura, Tomoki AU - Nakamura T AD - Department of Orthopaedic Surgery, Mie University Postgraduate School of Medicine, Edobashi 2-174, Tsu-city, 514-8507, Japan. Electronic address: tomoki66@clin.medic.mie-u.ac.jp. FAU - Kusuzaki, Katsuyuki AU - Kusuzaki K AD - Department of Musculoskeletal Oncology, Takai Hospital, Kuranosho 470-8, Tenri, 632-0006, Japan. FAU - Matsubara, Takao AU - Matsubara T AD - Matsubara Orthopaedic Clinic. Shiroyama 3-4-25, Tsu-city, 514-0818, Japan. FAU - Murata, Hiroaki AU - Murata H AD - Department of Orthopaedic Surgery, Matsushita Memorial Hospital, Moriguchi-City, 570-8540, Japan. FAU - Hagi, Tomohito AU - Hagi T AD - Department of Orthopaedic Surgery, Mie University Postgraduate School of Medicine, Edobashi 2-174, Tsu-city, 514-8507, Japan. FAU - Asanuma, Kunihiro AU - Asanuma K AD - Department of Orthopaedic Surgery, Mie University Postgraduate School of Medicine, Edobashi 2-174, Tsu-city, 514-8507, Japan. FAU - Sudo, Akihiro AU - Sudo A AD - Department of Orthopaedic Surgery, Mie University Postgraduate School of Medicine, Edobashi 2-174, Tsu-city, 514-8507, Japan. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20180607 PL - Netherlands TA - Photodiagnosis Photodyn Ther JT - Photodiagnosis and photodynamic therapy JID - 101226123 RN - 0 (Photosensitizing Agents) RN - F30N4O6XVV (Acridine Orange) SB - IM MH - Acridine Orange/*administration & dosage MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Infant MH - Male MH - Margins of Excision MH - Middle Aged MH - Neoplasm Recurrence, Local MH - Photochemotherapy/*methods MH - Photosensitizing Agents/*administration & dosage MH - Sarcoma/*drug therapy MH - Soft Tissue Neoplasms/*drug therapy MH - Young Adult OTO - NOTNLM OT - Acridine orange OT - Local control OT - Photodynamic therapy OT - Radiodymanic therapy OT - Soft tissue sarcoma EDAT- 2018/06/11 06:00 MHDA- 2019/02/02 06:00 CRDT- 2018/06/11 06:00 PHST- 2018/03/15 00:00 [received] PHST- 2018/06/01 00:00 [revised] PHST- 2018/06/01 00:00 [accepted] PHST- 2018/06/11 06:00 [pubmed] PHST- 2019/02/02 06:00 [medline] PHST- 2018/06/11 06:00 [entrez] AID - S1572-1000(18)30082-6 [pii] AID - 10.1016/j.pdpdt.2018.06.001 [doi] PST - ppublish SO - Photodiagnosis Photodyn Ther. 2018 Sep;23:165-170. doi: 10.1016/j.pdpdt.2018.06.001. Epub 2018 Jun 7.