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GEC-ESTRO ACROP recommendations in skin brachytherapy
Jose L Guinot1, Agata Rembielak2, Jose Perez-Calatayud3
1Department of Radiation Oncology, Foundation Instituto Valenciano de Oncologia (I.V.O.), Valencia, Spain.
Summary
Skin brachytherapy (BT) offers an effective, minimally invasive treatment for rising skin cancer rates. Recommendations are provided due to a lack of trials, highlighting BT
Area of Science:
- Oncology
- Radiation Oncology
- Medical Physics
Background:
- Skin cancer incidence is increasing globally.
- Brachytherapy (BT) presents a minimally invasive treatment option.
- Elderly and frail patients benefit from shorter treatment durations.
Purpose of the Study:
- To compile literature data and expert experience on skin brachytherapy.
- To develop general recommendations for skin BT on behalf of the GEC-ESTRO Group.
Main Methods:
- Exhaustive review of published articles.
- Literature search for general recommendations on skin BT.
Main Results:
- Lack of randomized controlled trials, systemic reviews, and meta-analyses.
- Wide variety of successful prescription techniques exist.
- BT can be superficial (contact/plesiotherapy) or interstitial for tumors >5mm.
- BT offers dosimetric advantages over external beam radiotherapy for curved surfaces.
- Smaller target volumes allow higher doses per fraction and shorter treatment overall.
Conclusions:
- Skin BT is an effective, non-invasive or minimally invasive treatment.
- BT is particularly suitable for elderly and frail populations.
- General recommendations are needed due to limited high-level evidence.
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