title: Application of helical tomotherapy for the treatment of a right atrium angiosarcoma: a case report.
abstract: We report the case of a 48-year-old woman affected by inoperable primary angiosarcoma of the right atrium who was treated with 4 cycles of induction chemotherapy and radical radiotherapy. We present the application and the result of helical tomotherapy for this patient. We also describe the technical aspects of the simulation, planning, setup and delivery of radiotherapy. At 16 months after the diagnosis the patient is still in good condition without any symptoms and with a partial response of the lesion. This case shows the feasibility of treatment with high doses of radiation for a primary unresectable cardiac sarcoma.
authors.forename: Davide
authors.initials: D
authors.lastname: Franceschini
authors.forename: Vieri
authors.initials: V
authors.lastname: Scotti
authors.forename: Gabriele
authors.initials: G
authors.lastname: Simontacchi
authors.forename: Icro
authors.initials: I
authors.lastname: Meattini
authors.forename: Fabiola
authors.initials: F
authors.lastname: Paiar
authors.forename: Daniela
authors.initials: D
authors.lastname: Greto
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Bonomo
authors.forename: Ciro
authors.initials: C
authors.lastname: Franzese
authors.forename: Vanessa
authors.initials: V
authors.lastname: Di Cataldo
authors.forename: Stefania
authors.initials: S
authors.lastname: Pallotta
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Biti
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D019583:Dose Fractionation, Radiation; D004452:Echocardiography; D015251:Epirubicin / Q000008:administration & dosage; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000628:therapy*; D006394:Hemangiosarcoma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000628:therapy*; D006801:Humans; D007069:Ifosfamide / Q000008:administration & dosage; D060828:Induction Chemotherapy; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D009367:Neoplasm Staging; D011880:Radiotherapy Planning, Computer-Assisted; D018714:Radiotherapy, Adjuvant; D050397:Radiotherapy, Intensity-Modulated; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D015251:Epirubicin; D007069:Ifosfamide