Radiotherapy of Cutaneous Cancers and Some Other Malignancies

Storck, H

doi:10.1111/j.1524-4725.1978.tb00505.x

Cited by 13 publications

(3 citation statements)

References 16 publications

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“…For these patients primary surgical resection followed by reconstructive surgery is usually a better therapeutic choice. LOCATION [6][7][8][9][10], and the nasolabial folds (Figs. [9][10][11][12]Color Figs.…”

Section: Size Of Tumormentioning

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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Section: Size Of Tumormentioning

confidence: 99%

Radiation Therapy of Cutaneous Carcinomas: Indications in Specific Anatomic Regions

Goldschmidt¹

1991

Modern Dermatologic Radiation Therapy

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“…With overtreatment, there is a risk of a poor cosmetic result; with undertreatment there is the risk of recurrence. Even though there is no conclusive evidence that this theoretical formula can be applied to cutaneous cancers as it is to internal malignancies, Storck 62 was the first to apply this formula to dermatologic therapy. Table 5 lists the TDF values for radiation schedules used at leading dermatologic centers.…”

Section: Dose Of Radiationmentioning

confidence: 99%

Office Radiotherapy of Cutaneous Carcinomas

Goldschmidt¹,

Sherwin²

1983

The Journal of Dermatologic Surgery and Oncology

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“…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 tissue 2–7 . Surgery often requires the removal of fairly large lateral and deep margins which can preclude a good cosmetic result 8 .…”

Section: Carcinoma Of the Nosementioning

confidence: 99%