scholarly journals Novel Treatment Setup for Urethral Cancer: Use of the Prone Technique for Radiotherapy of the Penis

2018 ◽  
Vol 11 (2) ◽  
pp. 268-275 ◽  
Author(s):  
Aurash Naser-Tavakolian ◽  
Cindy Tran ◽  
Marissa Timoteo ◽  
Raymond Chiu ◽  
Leslie Ballas

Urethral cancer (UC) is a rare malignancy with a poor prognosis. Since local recurrence is common and associated with morbidity, case series have reported on the use of adjuvant radiotherapy. Radiotherapy treatment setup for malignancies of the penis can be challenging because of variability in anatomic positioning. This variability can lead to lack of reproducibility. We propose a novel external beam radiotherapy technique for the treatment of UC: prone positioning. This technique has been used to treat breast cancers successfully and can be used to treat any variety of penile malignancies. We present 2 patients who were treated using this positioning.

2019 ◽  
Vol 133 ◽  
pp. S317-S318
Author(s):  
R. Speight ◽  
M. Schmidt ◽  
G. Liney ◽  
R. Johnstone ◽  
C. Eccles ◽  
...  

2020 ◽  
pp. 1-8
Author(s):  
Darren Shu Jeng Ting ◽  
Romeela Rana-Rahman ◽  
Jia Yu Ng ◽  
David J.P. Wilkinson ◽  
Desiree Ah-Kine ◽  
...  

<b><i>Purpose:</i></b> To highlight the clinical spectrum, management, and outcomes of ocular/periocular complications following high-dose external-beam radiotherapy (EBRT) for inoperable malignant maxillary sinus-involving tumors (MMST). <b><i>Methods:</i></b> A retrospective, interventional case series. All patients who were diagnosed with inoperable MMST (with orbital involvement) and treated with high-dose fractionated EBRT (65 Gy in 30 fractions) at James Cook University Hospital, UK, were included. <b><i>Results:</i></b> Seven patients with advanced MMST (T4aN0M0–T4bN2cM0) were included and were followed up for 23.8 ± 10.2 months. Severe lid margin disease, dry eye, and neurotrophic keratopathy were universally observed. Other complications included cicatricial conjunctivitis (71%), corneal perforation (57%), limbal stem cell deficiency (LSCD; 43%), glaucoma (29%), and superimposed candida keratitis (14%). Amniotic membrane transplant (AMT; 71%), tarsorrhaphy (43%), tectonic keratoplasty (29%), and evisceration (14%) were warranted. Intact corneal epithelium was observed in all patients and good corrected-distance visual acuity (≥20/60) was observed in 3 (43%) patients at final follow-up. <b><i>Conclusion:</i></b> High-dose EBRT for inoperable MMST can lead to a wide array of severe ocular/periocular complications. AMT serves as a potentially useful treatment modality to restore the ocular surface integrity after severe radiation keratopathy. We advocate active monitoring for any evolving ophthalmic complications during and after EBRT to enable timely intervention.


2021 ◽  
Vol 161 ◽  
pp. S1455-S1456
Author(s):  
R. Speight ◽  
M. Dubec ◽  
C. Eccles ◽  
B. George ◽  
A. Henry ◽  
...  

2003 ◽  
Vol 3 (4) ◽  
pp. 167-174 ◽  
Author(s):  
J. Owens ◽  
S. Kelsey ◽  
A. White

This paper explores the views of men who have experienced external beam radiotherapy as part of their treatment for prostate cancer. Using three focus groups, the study aimed to explore men's experience of radiotherapy. However it soon became clear that it is not possible to disentangle the experience of radiotherapy from that of the whole cancer journey. Four themes emerged from qualitative analysis of the data, namely, making decisions (feeling prepared and informed), the experience of radiotherapy, side effects of treatment and sources of support.The findings indicate that health care professionals involved in radiotherapy treatment delivery need to understand and maintain sensitivity to the physical and emotional impact of the men's experience prior to radiotherapy in addition to those experienced during radiotherapy. In order to raise awareness and understanding of whole experience from the men's perspective, it is suggested that feedback of patient experience should become an integral part of radiotherapy department activity.This paper is an extract from a wider study that explores the experience of men undergoing brachytherapy and external beam radiotherapy.


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