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Secondary Cutaneous Involvement in Follicular Diffuse Lymphoma Treated with Helical Tomotherapy

Non-Hodgkin’s lymphoma is a complex heterogeneous group of disease entities that involves nodal and extranodal tissues. Cutaneous involvement can occur either as a primary or secondary in course of disease. Radiation therapy with either total body or localized treatments is often used for local cont...

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Detalles Bibliográficos
Autores principales: Dar, A. Rashid, Jordan, Kevin, Yartsev, Slav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5598867/
https://www.ncbi.nlm.nih.gov/pubmed/28944110
http://dx.doi.org/10.7759/cureus.1471
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author Dar, A. Rashid
Jordan, Kevin
Yartsev, Slav
author_facet Dar, A. Rashid
Jordan, Kevin
Yartsev, Slav
author_sort Dar, A. Rashid
collection PubMed
description Non-Hodgkin’s lymphoma is a complex heterogeneous group of disease entities that involves nodal and extranodal tissues. Cutaneous involvement can occur either as a primary or secondary in course of disease. Radiation therapy with either total body or localized treatments is often used for local control and symptom relief, depending on the target volume. We describe a 60-year-old male with a remote history of stage IA left neck follicular lymphoma treated with radiation 20 years ago and previous relapses aggressively treated by chemotherapy. Treatment to a large volume of back and posterior shoulders on a helical tomotherapy radiotherapy system is reported. The skin lesions responded completely with no toxicity. Palliative radiotherapy to a fairly large and complex volume of skin with modest dose avoiding underlying critical tissues on tomotherapy is feasible, well tolerated with an excellent durable response, without compromising future chemotherapy and stem cell transplant for systemic relapse.
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spelling pubmed-55988672017-09-22 Secondary Cutaneous Involvement in Follicular Diffuse Lymphoma Treated with Helical Tomotherapy Dar, A. Rashid Jordan, Kevin Yartsev, Slav Cureus Radiation Oncology Non-Hodgkin’s lymphoma is a complex heterogeneous group of disease entities that involves nodal and extranodal tissues. Cutaneous involvement can occur either as a primary or secondary in course of disease. Radiation therapy with either total body or localized treatments is often used for local control and symptom relief, depending on the target volume. We describe a 60-year-old male with a remote history of stage IA left neck follicular lymphoma treated with radiation 20 years ago and previous relapses aggressively treated by chemotherapy. Treatment to a large volume of back and posterior shoulders on a helical tomotherapy radiotherapy system is reported. The skin lesions responded completely with no toxicity. Palliative radiotherapy to a fairly large and complex volume of skin with modest dose avoiding underlying critical tissues on tomotherapy is feasible, well tolerated with an excellent durable response, without compromising future chemotherapy and stem cell transplant for systemic relapse. Cureus 2017-07-14 /pmc/articles/PMC5598867/ /pubmed/28944110 http://dx.doi.org/10.7759/cureus.1471 Text en Copyright © 2017, Dar et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiation Oncology
Dar, A. Rashid
Jordan, Kevin
Yartsev, Slav
Secondary Cutaneous Involvement in Follicular Diffuse Lymphoma Treated with Helical Tomotherapy
title Secondary Cutaneous Involvement in Follicular Diffuse Lymphoma Treated with Helical Tomotherapy
title_full Secondary Cutaneous Involvement in Follicular Diffuse Lymphoma Treated with Helical Tomotherapy
title_fullStr Secondary Cutaneous Involvement in Follicular Diffuse Lymphoma Treated with Helical Tomotherapy
title_full_unstemmed Secondary Cutaneous Involvement in Follicular Diffuse Lymphoma Treated with Helical Tomotherapy
title_short Secondary Cutaneous Involvement in Follicular Diffuse Lymphoma Treated with Helical Tomotherapy
title_sort secondary cutaneous involvement in follicular diffuse lymphoma treated with helical tomotherapy
topic Radiation Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5598867/
https://www.ncbi.nlm.nih.gov/pubmed/28944110
http://dx.doi.org/10.7759/cureus.1471
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