Brachytherapy with 192Ir as treatment of carcinoma of the tarsal structure of the eyelid
Autor: | Alberto Sánchez-Reyes, M. Mollà, Carlos Conill, Antonio Vilalta |
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Rok vydání: | 2004 |
Předmět: |
Male
Cancer Research medicine.medical_specialty medicine.medical_treatment Brachytherapy Adenocarcinoma Eyelid Neoplasms Carcinoma Humans Medicine Radiology Nuclear Medicine and imaging Basal cell carcinoma Tumor location Aged Radiation business.industry Middle Aged Iridium Radioisotopes medicine.disease eye diseases Surgery body regions Radiation therapy medicine.anatomical_structure Oncology Carcinoma Basal Cell Carcinoma Squamous Cell Female sense organs Eyelid Skin cancer business Nuclear medicine Follow-Up Studies |
Zdroj: | International Journal of Radiation Oncology*Biology*Physics. 59:1326-1329 |
ISSN: | 0360-3016 |
Popis: | Purpose Some eyelid tumors present a great challenge for surgical therapy because of the cosmetic and functional impairment. Interstitial radiation with 192 Ir is an optimal alternative treatment modality. The aim of this study was to evaluate the local tumor control and cosmetic results in patients with eyelid tumors treated by interstitial 192 Ir wires. Methods and materials Twenty-four previously untreated carcinomas involving the eyelid tarsal structure in 23 patients were treated with 192 Ir wire implantation. The tumor location was in the lower eyelid in 22 cases and in the upper eyelid in 2. The mean tumor size was 1.33 cm. Of the 24 tumors, 79.2% were basal cell carcinoma, 16.7% were squamous cell carcinoma, and 4.2% were adenocarcinoma. The total radiation dose was 4000 cGy, delivered to 2-mm depth (mean dose rate, 73 cGy/h). Results The mean follow-up was 43 months. Local control was obtained in 22 (91.6%) of 24 tumors. Good functional results were achieved in all patients. Conclusion 192 Ir interstitial brachytherapy in a braided silk filament appears to be an excellent method to treat carcinomas involving the eyelid tarsal structure for tumor control and functional and cosmetic results. |
Databáze: | OpenAIRE |
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