Applications of the Electron Beam in the Treatment of Cancer of the Skin and Lips

Tapley, Norah duV.; Fletcher, Gilbert H.

doi:10.1148/109.2.423

Cited by 19 publications

(15 citation statements)

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“…Carcinomas recurring after surgical treatment can be treated by radiotherapy62, 66 (Figs. 28,29). The selection of a wide border is essential to effect a final cure.…”

Section: Recurrent Carcinomasmentioning

confidence: 99%

Radiation Therapy of Cutaneous Carcinomas: Indications in Specific Anatomic Regions

Goldschmidt¹

1991

Modern Dermatologic Radiation Therapy

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Cutaneous carcinomas involving the nose and perinasal area are common; statistics from a large group of patients indicate that 20-25% of all facial cutaneous carcinomas occur in this anatomic region.' Several therapeutic modalities can be used effectively for these cancers. In our experience, the cosmetic and functional improvements following X-ray therapy of certain cancers of the nose are among the most gratifying results of dermatologic radiotherapy.Most dermatologists have seen poor cosmetic results after simple excision with primary side-to-side closure because this method may bring about asymmetrical changes in the overall contour of the nose. Curettage and electrodesiccation may also yield unsatisfactory results because the nose has a stronger tendency to develop unsightly depressed scars than other facial regions. Dermatologists who are aware of these therapeutic problems often refer patients with large cancers of the nose to plastic surgeons or to specially trained dermatologic surgeons for more extensive surgical procedures, including flaps, skin grafts, cryosurgery, or chemosurgery. There is no doubt that these procedures can yield excellent results in skilled hands. However, in a good number of patients with medium-sized tumors, radiotherapy offers a valuable alternative which should be considered, and discussed with the patient, before extensive surgical procedures are contemplated. Radiotherapy is especially useful in patients with medical problems that could interfere with surgery, in patients who refuse surgery, and in patients whose carcinomas have recurred following surgical treatment.Reprints are not available ARTICLE Compared with complicated surgical techniques, radiotherapy is relatively easy to administer and is not associated with any major discomfort during or after treatment. Patients do not require hospitalization or anesthesia, nor do they require sophisticated reconstructive procedures. Cosmetic results are often excellent, primarily because radiotherapy does not change the contour of the treated area and it preserves the normal surrounding Surgery often requires the removal of fairly large lateral and deep margins which can preclude a good cosmetic result.6 In radiotherapy the uninvolved margin can be as large as desired without significant cosmetic consequences; since carcinomas are more radiosensitive than normal tissue, only the tumor itself is eliminated and not the normal surrounding skin. Cosmetically disturbing radiation sequelae are uncommon in this anatomic region when proper radiation techniques are used. This was not the case several decades ago when carcinomas of the skin overlying nasal cartilages were treated with high doses of poorly fractionated and unnecessarily penetrating X rays. These obsolete radiation techniques sometimes resulted in painful chondritis or chondronecrosis and other undesirable sequelae. Modern radiotherapy with relatively soft X rays delivered in properly fractionated doses has reduced these problems to a minimum. Indications for Radiotherapy TYP...

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“…Carcinomas recurring after surgical treatment can be treated by radiotherapy62, 66 (Figs. 28,29). The selection of a wide border is essential to effect a final cure.…”

Section: Recurrent Carcinomasmentioning

confidence: 99%

Radiation Therapy of Cutaneous Carcinomas: Indications in Specific Anatomic Regions

Goldschmidt¹

1991

Modern Dermatologic Radiation Therapy

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“…The authors emphasized that cartilage necrosis was not a significant problem. Preliminary results of electron‐beam therapy with a betatron (7 to 15 MeV) were reported by Tapley and Fletcher 29 . Twenty‐four patients with carcinoma of the nose were treated with good cosmetic results; three cancers recurred.…”

Section: Carcinoma Of the Nosementioning

confidence: 97%

“…The advantages of electron‐beam therapy for tumors of eyelids were described by Tapley and Fletcher, 29 who treated 41 carcinomas of the eyelids and inner canthi with a 7‐MeV betatron beam. Most patients received 6,000 to 7,000 rad in 4–5 weeks.…”

Section: Carcinoma Of the Eyelidmentioning

confidence: 99%

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Office Radiotherapy of Cutaneous Carcinomas

Goldschmidt¹,

Sherwin²

1983

The Journal of Dermatologic Surgery and Oncology

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“…Penetration (cm) is approximately i the initial energy (in MV). This form of treatment is especially useful for extensive lesions of nose, ear, lip and scalp (Tapley & Fletcher, 1973).…”

Section: Electron Beam Therapymentioning

confidence: 99%

Current treatment of epitheliomas of the skin*

Wilkinson

1982

Clin Exp Dermatol

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Applications of the Electron Beam in the Treatment of Cancer of the Skin and Lips

Cited by 19 publications

References 0 publications

Radiation Therapy of Cutaneous Carcinomas: Indications in Specific Anatomic Regions

Radiation Therapy of Cutaneous Carcinomas: Indications in Specific Anatomic Regions

Office Radiotherapy of Cutaneous Carcinomas

Current treatment of epitheliomas of the skin*

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