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66). Specifically, surgery+ART slightly improved PFS at 1-year (OR0.92) and more consistently at 3- and 5-years (OR0.31 and 0.35 respectively) hence favoring a combined approach. Current literature on the impact of ART after gross total resection of AM are still heterogeneous and not systematically reported. The present meta-analysis suggests a possible protective role of postoperative RT against long-term recurrence as compared to surgical resection alone. Current literature on the impact of ART after gross total resection of AM are st