Soft x-ray therapy for cutaneous basal cell and squamous cell carcinomas.

Abstract:

BACKGROUND:We have used a schedule for soft x-ray therapy of epithelial malignancies that takes into account the clinically diagnosed tumor involution under treatment. OBJECTIVE:We sought to evaluate the effectiveness of this schedule in terms of cure rate and late ulcerations. METHODS:Patients with 1267 consecutively irradiated (1988-1992) basal cell and squamous cell carcinomas were followed up (average 77 months). RESULTS:The recurrence rate (5.1%) was related to tumor size and thickness and to the time-dose-fractionation factor. The frequency of ulcerations (6.3%) depended on field size, hardness of the x-rays, and in smaller fields (diameter up to 4 cm) on total dose, and time-dose-fractionation factor. Of all ulcerations, 82.5 % could be conservatively cured. LIMITATIONS:We have no evidence that our radiation schedule is superior to those published by other authors. CONCLUSION:These results verify the usefulness of soft x-ray therapy for cutaneous epithelial malignancies.

journal_name

J Am Acad Dermatol

authors

Schulte KW,Lippold A,Auras C,Bramkamp G,Breitkopf C,Elsmann HJ,Habenicht EM,Jasnoch V,Müller-Pannes H,Rupprecht R,Suter L

doi

10.1016/j.jaad.2005.07.045

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

993-1001

issue

6

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(05)02325-X

journal_volume

53

pub_type

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