It is of great practical utility to assess which is the best therapeutic choice in the management of recurrent basal cell skin carcinomas (RBCC) after different non radiological treatments. To this aim we have performed a retrospective study about 55 cases of recurrent basal cell carcinomas. They underwent radiotherapy with contact or soft x-ray therapy in the period 1982-1992. The total doses of ionizing radiations administered ranged from 45 to 60 Gy, at the rate of two fractions of 5 Gy each weekly. The cure-rate, after a minimum follow-up of 2 years, was 89.10%. Six re-recurrences occurred: 4 marginally and 2 centrally. Up to now, the cosmetic end results have been qualitatively good or acceptable in 100% of the cases. So far no complications to the radiologic treatment have been observed. Such results, even if they need further supports with the increasing of the follow-up period, suggest two considerations, in agreement with the literature data: (1) radiotherapy is the most effective treatment after Mohs surgery in the therapeutic strategy of RBCC (recurrence after non radiological treatments); (2) radiotherapy is the choice treatment in the patients with RBCC (recurrence after non radiological treatments), who can not undergo surgery.
|Number of pages||4|
|Journal||Giornale Italiano di Dermatologia e Venereologia|
|Publication status||Published - 1994|
- basal cell skin carcinomas recurrent
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