Nguyen Nam P, Ries Tiffany, Vock Jacqueline, Vos Paul, Chi Alexander, Vinh-Hung Vincent, Thompson Stephen, Desai Anand, Sroka Thomas, Vo Richard A, Gelumbauskas Steve, Hamilton Russell, Karlsson Ulf, Mignault Alan
Department of Radiation Oncology, Howard University Hospital, Washington, Washington DC, USA.
Geriatr Gerontol Int. 2015 May;15(5):601-5. doi: 10.1111/ggi.12319. Epub 2014 Sep 26.
To assess the effectiveness of conventionally fractionated radiotherapy for local control and cosmesis in elderly patients (age 70 years or older) with non-melanoma skin cancer of the head.
A retrospective review of 15 patients undergoing definitive radiation (11 patients) or postoperative radiation (4 patients) for squamous cell carcinoma (9 patients) and basal cell carcinoma (6 patients) of the head was undertaken. At each follow-up visit, a radiation oncology resident and/or medical student was requested to examine the patient's head and neck, and determine the initial location of the cancer without reviewing their medical record.
No patient developed a loco-regional recurrence. The residents and medical students were unable to determine the initial location of the cancer because of the skin normalcy.
Conventionally fractionated radiotherapy is effective for local control and provides excellent cosmesis for elderly patients with skin cancer of the head.
评估常规分割放疗对老年(70岁及以上)头颈部非黑色素瘤皮肤癌患者局部控制和美容效果的有效性。
对15例因头颈部鳞状细胞癌(9例)和基底细胞癌(6例)接受根治性放疗(11例)或术后放疗(4例)的患者进行回顾性研究。每次随访时,要求放射肿瘤学住院医师和/或医学生在不查阅病历的情况下检查患者的头颈部,并确定癌症的初始位置。
无患者出现局部区域复发。由于皮肤外观正常,住院医师和医学生无法确定癌症的初始位置。
常规分割放疗对局部控制有效,为老年头颈部皮肤癌患者提供了良好的美容效果。