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Helical tomotherapy for duodenal adenocarcinoma in an elderly patient: A case report
Valentina Lancellotta1, Giuseppe Russo1, Marco Lupattelli1
1Valentina Lancellotta, Cynthia Aristei, Radiation Oncology Section, Department of Surgical and Biomedical Sciences, University of Perugia, Perugia General Hospital, 06128 Perugia, Italy.
Abstract:
To evaluate the efficacy and feasibility of external beam radiotherapy (EBRT) for duodenal adenocarcinoma in an 84-year-old female who underwent EBRT (2.2 Gy/d for a total dose of 46.2 Gy) using helical tomotherapy (HT). Toxicity was evaluated on the National Cancer Institute's common toxicity criteria (CTCAE 3.0). The patient completed the treatment without G3-G4 toxicity. After 22-mo follow-up, she is alive and well, in complete remission with no late side effects. HT seems to be feasible and effective for duodenal adenocarcinoma in old to very old patients.

