The role of radiation therapy in the management of cutaneous malignancies. Part I: Diagnostic modalities and applications - 07/08/21

Doi : 10.1016/j.jaad.2021.05.058

Kelly M. Wilmas, MD ^a,^⁎ , Wesley B. Garner, MD, MPH ^b, Matthew T. Ballo, MD ^b, Susan L. McGovern, MD, PhD ^c, Deborah F. MacFarlane, MD, MPH ^d,^⁎
^a Department of Dermatology, The University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas
^b Department of Radiation Oncology, West Cancer Center, Germantown, Tennessee
^c Department of Radiation Oncology, MD Anderson Cancer Center, Houston, Texas
^d Departments of Dermatology and Head and Neck Surgery, The University of Texas MD Anderson Cancer, Houston, Texas

^∗Correspondence to: Deborah F. MacFarlane, MD, MPH, Departments of Dermatology and Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1452, Houston, TX 77030.Departments of Dermatology and Head and Neck SurgeryThe University of Texas MD Anderson Cancer Center1400 Pressler StreetUnit 1452HoustonTX77030^∗∗Kelly M. Wilmas, MD, Department of Dermatology, University of Texas Health Science Center at Houston, McGovern Medical School, 6655 Travis St, Suite 980, Houston, TX 77030.Department of DermatologyUniversity of Texas Health Science Center at HoustonMcGovern Medical School6655 Travis St, Suite 980HoustonTX77030

Abstract

Radiation therapy offers distinct advantages over other currently available treatments for cutaneous malignancies in certain circumstances. Dermatologists and dermatologic surgeons should be familiar with the available radiation therapy techniques as well as their value and potential limitations in a variety of clinical scenarios. The first article in this 2-part continuing medical education series highlights the mechanisms, modalities, and applications of the most commonly used radiotherapy treatments as they relate to cutaneous oncology. We review the current indications for the use of radiation in the treatment of various cutaneous malignancies, the techniques commonly employed in modern radiotherapy, and the associated complications.

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Key words : adjuvant radiotherapy, definitive radiotherapy, electron beam radiotherapy, electronic brachytherapy, palliative radiotherapy, radiation therapy, radionuclide brachytherapy, superficial radiation

Abbreviations used : cSCC, EBRT, Gy, MMS, RT, SRT

Plan

Pre-radiation work up

Radiation therapeutic modalities

Key points

Electron beam radiotherapy

Radionuclide brachytherapy

Electronic brachytherapy

Superficial radiation therapy

	Dr MacFarlane is the principle author.
	Funding sources: None.
	IRB approval status: Reviewed and approved by MD Anderson Cancer Center IRB.
	Date of release: September 2021.
	Expiration date: September 2024.