Case Studies
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74 year old gentleman with 2.5cm squamous cell carcinoma lesion |
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Self Referral - “Tired of being cut by my dermatologist” |
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Electronic Brachytherapy Treatment schedule |
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• Received 40 Gy in 8 Fractions using 35mm surface applicator, prescribed to 0.5cm depth |
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• Delivered twice weekly |
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65 year old female with basal cell carcinoma of right nasal ala and nasal tip |
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Elected to proceed with Electronic Brachytherapy using skin surface applicator |
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Received 40 Gy in 8 fractions, delivered twice weekly |
Does it Work?
Local Control after Brachytherapy for Skin Cancer
Author |
Tumor Localization |
n |
Treatment |
FUP |
Local Control |
Guix (2000) |
Face |
136 |
HDRbrachy |
5y |
99% if primary treatment, 87% if recurrence |
Maes (2001) |
Face |
173 |
Iridium-192 |
45 Months |
95% |
Debois (1994) |
Nose |
370 |
Cesium 137 |
2y |
97% if primary treatment, 94% if recurrence |
Crook (1990) |
Nose |
468 |
Iridium-192 |
5y |
97.5% |
GEC (1989) |
Nose |
1,676 |
RT |
min 2y |
95% if primary treatment, 88% if recurrence |
Daly (1984) |
Eyelid |
165 |
Iridium-192 |
5y |
97% if primary treatment, 94% if recurrence |
Gambaro (2001) |
Eyelid |
50 |
Iridium-192 |
Median 82 months |
96% |
Mazeron (1986) |
Ear |
70 |
Iridium-192 |
mean 5y |
99% |
Baris (1985) |
Nasal Vestibule |
22 |
Iridium-192 |
2y |
96.4% |
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Summary
Does it Work? |