For citation purposes: Kirova YM, Kramkimel N. Evolution in the management of skin malignant lesions using new radiotherapy techniques. OA Dermatology 2013 Nov 22;1(1):6.

Critical review

 
Therapeutics

Evolution in the management of skin malignant lesions using new radiotherapy techniques

YM Kirova, N Kramkimel,
 

Authors affiliations

(1) Department of Radiation Oncology, Curie Institute, 26 Rue d’Ulm, 75005 Paris, France

(2) Department of Dermatology, Cochin Hospital, 27 Rue du Faubourg Saint-Jacques, 75014 Paris, France

* Corresponding author Email: youlia.kirova@curie.fr

Abstract

Introduction

Radiotherapy plays an important role in the treatment of skin tumours. For skin carcinomas, external irradiation (kilovoltage X-rays or electrons according to clinical characteristics) is more preferable than interstitial brachytherapy, which is recommended for tumours of the lip and nasal vestibule. Electrons are usually used for treating superficial lesions and skin cancers, as well as in the orthovoltage radiotherapy. In order to treat mycosis fungoides, total cutaneous electron beam radiation therapy is efficient for patients with limited superficial plaques. In the treatment of classical form of Kaposi’s sarcoma, radiotherapy can achieve local control, whereas it gives good palliative results in the epidemic form. New radiotherapy techniques, such as helical tomotherapy, showed increased advantages, including dose escalation to the target tumour volume and the best protection of adjacent organs at risk. The aim of this work is to accurately evaluate the efficiency and tolerance of old and new radiotherapy techniques in the treatment of different skin tumours and to review the already existing techniques.

Conclusion

With all these new treatment modalities, the modern radiotherapy technique becomes a highly adapted treatment for different tumour types, which is a part of the multidisciplinary management.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)
Keywords