Helical Tomotherapy(®) is a Safe and Feasible Technique for Total Scalp Irradiation

Angiosarcoma of the scalp is a rare aggressive tumor that affects elderly patients. Chemoradiation is the treatment of choice for multicentric and extensive disease. The shape of the scalp represents a dosimetric challenge in terms of achieving a homogeneous concave dose distribution with coverage o...

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Detalles Bibliográficos
Autores principales: Cuccia, Francesco, Figlia, Vanessa, Palmeri, Antonella, Verderame, Francesco, Lo Casto, Antonio, Mannino, Mariella, Ferrera, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379234/
https://www.ncbi.nlm.nih.gov/pubmed/28435647
http://dx.doi.org/10.4081/rt.2017.6942
Descripción
Sumario:Angiosarcoma of the scalp is a rare aggressive tumor that affects elderly patients. Chemoradiation is the treatment of choice for multicentric and extensive disease. The shape of the scalp represents a dosimetric challenge in terms of achieving a homogeneous concave dose distribution with coverage of the entire target volume and an acceptable organs-at-risk sparing. We report a case of an 81-year-old man with a multifocal angiosarcoma of the scalp treated with Helical TomoTherapy(®) (Accuray Inc., Sunnyvale, CA, USA) intensity modulated radiotherapy. This technique allows precise and daily verifiable coverage of the target keeping the dose to the organs at risk within the constraints.

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