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Subungual squamous cell carcinoma: A case study.

Cory J Neill1

  • 1Carson-Tahoe Cancer Center, 1535 Medical Parkway, Suite A, Carson City, NV 89704.

Medical Dosimetry : Official Journal of the American Association of Medical Dosimetrists
|April 11, 2017
PubMed
Summary
This summary is machine-generated.

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This case study details radiation therapy for finger cancer, presenting a novel immobilization technique and comparing photon versus electron beams. Photons proved dosimetrically superior for treating superficial skin and bone cancers.

Area of Science:

  • Radiation Oncology
  • Medical Physics
  • Dermatologic Surgery

Background:

  • Squamous cell carcinoma (SCC) can affect the distal finger, including bone.
  • Conventional surgical treatment may not be suitable for all patients.
  • External beam radiation therapy (EBRT) presents an alternative treatment modality.

Observation:

  • A 76-year-old male patient with subungual SCC of the left distal index finger with bony involvement refused surgery.
  • A simple, reproducible immobilization method for the finger was developed.
  • Dosimetric comparison of photon and electron beams was performed.

Findings:

  • Photons were found to be dosimetrically advantageous over electrons for this specific application.
  • The described immobilization technique allows for reproducible patient positioning.
Keywords:
Subungual carcinoma

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Implications:

  • This study addresses a gap in literature regarding finger immobilization for radiation therapy.
  • The findings suggest photons may be the preferred EBRT modality for distal finger SCC.
  • Further research is needed to evaluate long-term efficacy, pending patient compliance.