Locally advanced skin cancer of the nose is problematic, especially when all nasal skin needs treatment as in the case of skin field cancerisation (SFC). Surgery is considered the gold standard but involves tissue loss which may impact function and cosmesis. In patients who are not good surgical candidates, definitive radiotherapy (RT) can be used.Traditional RT modalities for the nose, such as brachytherapy, superficial x-ray treatment or electrons, have quality assurance issues and can be difficult to conform to the target volume. Volumetric modulated arc therapy (VMAT) is an advanced form of intensity modulated radiotherapy (IMRT). IMRT confines the high dose of radiation to the tumour and is used to avoid irradiating a dose-sensitive structure in the concavity of a volume that requires a therapeutic dose for tumour control. Within the nose, the nasal septum is a dose-limiting structure in the concavity of the skin covering the nose.We present here a case report using a VMAT technique to treat SFC of the nose. To our knowledge, this is the first description in the literature of VMAT for SFC of the nose. We also believe it to be the first time that VMAT simultaneous integrated boost (SIB) to biopsy proven macroscopic disease has been used when treating SFC.
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.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.