Results and side effects of dermatologic radiotherapy: A retrospective study of irradiated cutaneous epithelial neoplasms

M. Caccialanza, R. Piccinno, M. Beretta, L. Gnecchi

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36 Citations (Scopus)

Abstract

Background: Ionizing radiation therapy has a well-defined role among several therapeutic options available for the management of cutaneous neoplasms. However, many dermatologists today are not aware of its potential. Objective: Our purpose was to evaluate the effectiveness and safety of radiotherapy in a large series of patients with primary malignant epithelial neoplasms (PMENs), who had been subjected to radiotherapy between 1982 and 1995. Methods: A retrospective study was performed on 1188 patients with a total of 2002 PMENs that had been treated by contact, superficial, and intermediate x-ray therapy. Results: Complete remission was obtained in 98.7% of the irradiated lesions. The 5-year cure rate was 90.73%. Cosmetic results were evaluated as 'good' or 'acceptable' in 84.01% of the treated lesions. Acute complications occurred in 1.94% and chronic complications in 0.34%. To date, neither radio-induced skin neoplasms nor late stochastic effects have been observed. Conclusion: This study confirms that dermatologic radiotherapy is an effective and reliable form of treatment of PMENs and has a favorable cure rate/toxicity ratio.

Original languageEnglish
Pages (from-to)589-594
Number of pages6
JournalJournal of the American Academy of Dermatology
Volume41
Issue number4
Publication statusPublished - 1999

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Glandular and Epithelial Neoplasms
Skin Neoplasms
Radiotherapy
Retrospective Studies
Carcinoma
Background Radiation
Ionizing Radiation
Radio
Cosmetics
Therapeutics
X-Rays
Safety

ASJC Scopus subject areas

  • Dermatology

Cite this

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title = "Results and side effects of dermatologic radiotherapy: A retrospective study of irradiated cutaneous epithelial neoplasms",
abstract = "Background: Ionizing radiation therapy has a well-defined role among several therapeutic options available for the management of cutaneous neoplasms. However, many dermatologists today are not aware of its potential. Objective: Our purpose was to evaluate the effectiveness and safety of radiotherapy in a large series of patients with primary malignant epithelial neoplasms (PMENs), who had been subjected to radiotherapy between 1982 and 1995. Methods: A retrospective study was performed on 1188 patients with a total of 2002 PMENs that had been treated by contact, superficial, and intermediate x-ray therapy. Results: Complete remission was obtained in 98.7{\%} of the irradiated lesions. The 5-year cure rate was 90.73{\%}. Cosmetic results were evaluated as 'good' or 'acceptable' in 84.01{\%} of the treated lesions. Acute complications occurred in 1.94{\%} and chronic complications in 0.34{\%}. To date, neither radio-induced skin neoplasms nor late stochastic effects have been observed. Conclusion: This study confirms that dermatologic radiotherapy is an effective and reliable form of treatment of PMENs and has a favorable cure rate/toxicity ratio.",
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TY - JOUR

T1 - Results and side effects of dermatologic radiotherapy

T2 - A retrospective study of irradiated cutaneous epithelial neoplasms

AU - Caccialanza, M.

AU - Piccinno, R.

AU - Beretta, M.

AU - Gnecchi, L.

PY - 1999

Y1 - 1999

N2 - Background: Ionizing radiation therapy has a well-defined role among several therapeutic options available for the management of cutaneous neoplasms. However, many dermatologists today are not aware of its potential. Objective: Our purpose was to evaluate the effectiveness and safety of radiotherapy in a large series of patients with primary malignant epithelial neoplasms (PMENs), who had been subjected to radiotherapy between 1982 and 1995. Methods: A retrospective study was performed on 1188 patients with a total of 2002 PMENs that had been treated by contact, superficial, and intermediate x-ray therapy. Results: Complete remission was obtained in 98.7% of the irradiated lesions. The 5-year cure rate was 90.73%. Cosmetic results were evaluated as 'good' or 'acceptable' in 84.01% of the treated lesions. Acute complications occurred in 1.94% and chronic complications in 0.34%. To date, neither radio-induced skin neoplasms nor late stochastic effects have been observed. Conclusion: This study confirms that dermatologic radiotherapy is an effective and reliable form of treatment of PMENs and has a favorable cure rate/toxicity ratio.

AB - Background: Ionizing radiation therapy has a well-defined role among several therapeutic options available for the management of cutaneous neoplasms. However, many dermatologists today are not aware of its potential. Objective: Our purpose was to evaluate the effectiveness and safety of radiotherapy in a large series of patients with primary malignant epithelial neoplasms (PMENs), who had been subjected to radiotherapy between 1982 and 1995. Methods: A retrospective study was performed on 1188 patients with a total of 2002 PMENs that had been treated by contact, superficial, and intermediate x-ray therapy. Results: Complete remission was obtained in 98.7% of the irradiated lesions. The 5-year cure rate was 90.73%. Cosmetic results were evaluated as 'good' or 'acceptable' in 84.01% of the treated lesions. Acute complications occurred in 1.94% and chronic complications in 0.34%. To date, neither radio-induced skin neoplasms nor late stochastic effects have been observed. Conclusion: This study confirms that dermatologic radiotherapy is an effective and reliable form of treatment of PMENs and has a favorable cure rate/toxicity ratio.

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