Most paediatric triage systems used in UK emergency departments (EDs) are adapted from adult tools. Paediatric-specific triage tools have been developed in Australia, Canada and the United States but there is no evidence of a similar tool in use in the UK despite support for its development. Staff at New Cross Hospital, in Wolverhampton, are involved in a project to develop a paediatric-specific triage tool that can be used in EDs, assessment units and walk-in centres throughout the UK. The tool has been piloted in the hospital's paediatric assessment unit already with some success, but is yet to be validated.
The aim of this study is to document a case of Extra Mammary Paget's Disease (EMPD), which was treated with radiotherapy at the Suffolk Oncology Centre. We have shown evidence, both in the reviewed literature and in this study, that radiotherapy can be used successfully as a primary form of treatment for this disease.The patient discussed in this paper had EMPD in the perianal region. 40 Gy in 10# using a parallel-opposed pair field arrangement was prescribed. However due to mental and physical frailty only 90% of the dose could be delivered. The patient suffered only minor side effects and three years post-radiotherapy was still disease free. We can therefore say that radiotherapy was successful in this instance.We concluded that there is a definite role for radiotherapy in the management of EMPD and that it can be effective as a primary treatment, where the only other option could be mutilating surgery.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.