Who says you can't treat pituitary carcinoma on a breast board?

A hospital-manufactured aquaplast head and neck immobilization system was constructed in tandem with a unique custom-built breast board. It was developed in conjunction with the breast board for patients unable to achieve and maintain the desired head flexion needed in the treatment of pituitary lesions. (This custom design provides an alternative to accomplishing this desired head angle needed to position the patient's eyes out of the treatment area, realizing that the lenses are situated in the anterior 1 cm of the globes.) By using the angled breast board, reproducibility of setup and patient comfort were addressed throughout the simulation, computed tomography planning and treatment process. The custom designed boards were constructed with available materials at relatively low cost to the department.