Parker R G
Clin Plast Surg. 1980 Jul;7(3):337-48.
Radiation therapy is preferable treatment for a minority of basal cell and epidermoid carcinomas of the skin. Proper use exploits the inherent advantage of preservation of function and cosmesis. Therefore, many cancers involving the eyelid, canthus, nose, nasolabial fold, pinna, ear canal, vermilion surface of the lower lip and skin of the chin can be advantageously treated by radiation therapy as compared to surgery, if pretreatment destruction of normal tissue is minimal. Although irradiation is equally effective, surgery is more expeditious for small lesions and cancers at other sites, which can be excised and followed by primary closure, and for large lesions if reconstruction will be required after destruction of the tumor. Radiation therapy, less frequently, can control cancers too extensive for reasonable resection. This indication should be clearly distinct from the selected use in less extensive, resectable cancers. Radiation therapy can be effective, and usually is preferable treatment, for several other primary neoplasms of skin such as mycosis fungoides and Kaposi's sarcoma.
放射治疗是少数皮肤基底细胞癌和表皮样癌的首选治疗方法。合理使用可发挥保留功能和美容效果的固有优势。因此，如果对正常组织的预处理破坏最小，与手术相比，许多累及眼睑、眦、鼻、鼻唇沟、耳廓、耳道、下唇红唇表面和下巴皮肤的癌症可通过放射治疗得到有效治疗。尽管放射治疗同样有效，但对于小病变和其他部位的癌症，手术更为迅速，这些部位的癌症可切除并一期缝合，对于大病变，如果在肿瘤切除后需要重建，手术也更为迅速。放射治疗较少用于控制因范围过大而无法合理切除的癌症。这种适应症应与在范围较小、可切除的癌症中的选择性使用明确区分开来。放射治疗对其他几种原发性皮肤肿瘤，如蕈样肉芽肿和卡波西肉瘤，可能有效，且通常是首选治疗方法。
