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For many solid pediatric tumors, IORT can play an important role in the local control of primary or recurrent disease and long-term survival. Included in this group are both malignant and benign, but aggressive, growths such as soft tissue sarcoma, neuroblastoma, WilmÕs tumor, hepatoblastoma and bone sarcoma [1]. IORT is particularly effective when it is a component of a multidisciplinary approach that might include surgery, irradiation and chemotherapy [2].
"Intraoperative Irradiation, Techniques and Results", 1999, p 460 Because children are generally much smaller than adults, there are a number of technical issues to be addressed when IORT is included in the treatment. Particular efforts are made to exclude uninvolved critical growing bones and organs from the high doses of radiation that must often be delivered within a confined space in the body.
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