Intraoperative Radiation Therapy and Mohs Micrographic Surgery on an Outpatient Basis
background Intraoperative radiation therapy (IORT) is used to deliver therapeutic doses of radiation to a surgically exposed tumor or tumor bed while minimizing the radiation dose to adjacent normal tissue. It is traditionally given with the patient under general anesthesia. objective To report a ca...
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Veröffentlicht in: | Dermatologic surgery 1995-11, Vol.21 (11), p.975-978 |
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container_title | Dermatologic surgery |
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creator | SIEGLE, RONALD J. HOUSER, STEVEN NAG, SUBIR SUMMERS, BRADLEY K. |
description | background Intraoperative radiation therapy (IORT) is used to deliver therapeutic doses of radiation to a surgically exposed tumor or tumor bed while minimizing the radiation dose to adjacent normal tissue. It is traditionally given with the patient under general anesthesia.
objective To report a case of a recurrent squamous cell carcinoma treated with Mohs micrographic surgery and IORT on an outpatient basis.
methods Mohs surgery was used to clear the tumor in all fields except for the area of the spinal accessory nerve, which was preserved. IORT was then delivered to the area of nerve with possible residual tumor.
results The patient remains clinically tumor free 42 months posttreatment. There were no complications.
conclusion Intraoperative radiation therapy can be effectively used in the outpatient setting as an adjunctive therapy after Mohs micrographic surgery. |
doi_str_mv | 10.1111/j.1524-4725.1995.tb00536.x |
format | Article |
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objective To report a case of a recurrent squamous cell carcinoma treated with Mohs micrographic surgery and IORT on an outpatient basis.
methods Mohs surgery was used to clear the tumor in all fields except for the area of the spinal accessory nerve, which was preserved. IORT was then delivered to the area of nerve with possible residual tumor.
results The patient remains clinically tumor free 42 months posttreatment. There were no complications.
conclusion Intraoperative radiation therapy can be effectively used in the outpatient setting as an adjunctive therapy after Mohs micrographic surgery.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1111/j.1524-4725.1995.tb00536.x</identifier><identifier>PMID: 7582837</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Ambulatory Surgical Procedures - methods ; Biological and medical sciences ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - therapy ; Dermatology ; Head and Neck Neoplasms - pathology ; Head and Neck Neoplasms - therapy ; Humans ; Intraoperative Care - methods ; Male ; Medical sciences ; Middle Aged ; Mohs Surgery - methods ; Neoplasm Recurrence, Local - pathology ; Neoplasm Recurrence, Local - therapy ; Radiotherapy Dosage ; Radiotherapy, Adjuvant - methods ; Surgical Flaps ; Tumors of the skin and soft tissue. Premalignant lesions</subject><ispartof>Dermatologic surgery, 1995-11, Vol.21 (11), p.975-978</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3435-b73fca84e7fce79309e7a4f6658b6ccd325caf3b88b0457f7d78374b0d50e2723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2908235$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7582837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SIEGLE, RONALD J.</creatorcontrib><creatorcontrib>HOUSER, STEVEN</creatorcontrib><creatorcontrib>NAG, SUBIR</creatorcontrib><creatorcontrib>SUMMERS, BRADLEY K.</creatorcontrib><title>Intraoperative Radiation Therapy and Mohs Micrographic Surgery on an Outpatient Basis</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>background Intraoperative radiation therapy (IORT) is used to deliver therapeutic doses of radiation to a surgically exposed tumor or tumor bed while minimizing the radiation dose to adjacent normal tissue. It is traditionally given with the patient under general anesthesia.
objective To report a case of a recurrent squamous cell carcinoma treated with Mohs micrographic surgery and IORT on an outpatient basis.
methods Mohs surgery was used to clear the tumor in all fields except for the area of the spinal accessory nerve, which was preserved. IORT was then delivered to the area of nerve with possible residual tumor.
results The patient remains clinically tumor free 42 months posttreatment. There were no complications.
conclusion Intraoperative radiation therapy can be effectively used in the outpatient setting as an adjunctive therapy after Mohs micrographic surgery.</description><subject>Ambulatory Surgical Procedures - methods</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - therapy</subject><subject>Dermatology</subject><subject>Head and Neck Neoplasms - pathology</subject><subject>Head and Neck Neoplasms - therapy</subject><subject>Humans</subject><subject>Intraoperative Care - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mohs Surgery - methods</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neoplasm Recurrence, Local - therapy</subject><subject>Radiotherapy Dosage</subject><subject>Radiotherapy, Adjuvant - methods</subject><subject>Surgical Flaps</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkF1LwzAUhoMoOj9-ghBEvGtNk6ZJvRB0fg2UgXPXIU3TLaNra9Lq-u_NWNm9ucnhvO97cvIAcBWhMPLndhVGFMdBzDANozSlYZshREkSbg7AaC8d-hqxJEA0wifg1LkVQhFOCToGx4xyzAkbgfmkaq2sG21la340_JS58VVdwa-l7zU9lFUOP-qlgx9G2Xrhe0uj4KyzC2176I2ygtOubXxKVy18lM64c3BUyNLpi-E-A_OX56_xW_A-fZ2MH94DRWJCg4yRQkkea1YozfxmqWYyLpKE8ixRKieYKlmQjPMMxZQVLGd-6ThDOUUaM0zOwM1ubmPr7067VqyNU7osZaXrzgnGkojwhHvj3c7ov-Cc1YVorFlL24sIiS1TsRJbcGILTmyZioGp2Pjw5fBKl611vo8OEL1-PejSKVkWVlbKuL0Np4hjQr3tfmf7NaXu_7GAeJrNU0bJH1gBlCA</recordid><startdate>199511</startdate><enddate>199511</enddate><creator>SIEGLE, RONALD J.</creator><creator>HOUSER, STEVEN</creator><creator>NAG, SUBIR</creator><creator>SUMMERS, BRADLEY K.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199511</creationdate><title>Intraoperative Radiation Therapy and Mohs Micrographic Surgery on an Outpatient Basis</title><author>SIEGLE, RONALD J. ; HOUSER, STEVEN ; NAG, SUBIR ; SUMMERS, BRADLEY K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3435-b73fca84e7fce79309e7a4f6658b6ccd325caf3b88b0457f7d78374b0d50e2723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Ambulatory Surgical Procedures - methods</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - therapy</topic><topic>Dermatology</topic><topic>Head and Neck Neoplasms - pathology</topic><topic>Head and Neck Neoplasms - therapy</topic><topic>Humans</topic><topic>Intraoperative Care - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mohs Surgery - methods</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Neoplasm Recurrence, Local - therapy</topic><topic>Radiotherapy Dosage</topic><topic>Radiotherapy, Adjuvant - methods</topic><topic>Surgical Flaps</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SIEGLE, RONALD J.</creatorcontrib><creatorcontrib>HOUSER, STEVEN</creatorcontrib><creatorcontrib>NAG, SUBIR</creatorcontrib><creatorcontrib>SUMMERS, BRADLEY K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SIEGLE, RONALD J.</au><au>HOUSER, STEVEN</au><au>NAG, SUBIR</au><au>SUMMERS, BRADLEY K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative Radiation Therapy and Mohs Micrographic Surgery on an Outpatient Basis</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>1995-11</date><risdate>1995</risdate><volume>21</volume><issue>11</issue><spage>975</spage><epage>978</epage><pages>975-978</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>background Intraoperative radiation therapy (IORT) is used to deliver therapeutic doses of radiation to a surgically exposed tumor or tumor bed while minimizing the radiation dose to adjacent normal tissue. It is traditionally given with the patient under general anesthesia.
objective To report a case of a recurrent squamous cell carcinoma treated with Mohs micrographic surgery and IORT on an outpatient basis.
methods Mohs surgery was used to clear the tumor in all fields except for the area of the spinal accessory nerve, which was preserved. IORT was then delivered to the area of nerve with possible residual tumor.
results The patient remains clinically tumor free 42 months posttreatment. There were no complications.
conclusion Intraoperative radiation therapy can be effectively used in the outpatient setting as an adjunctive therapy after Mohs micrographic surgery.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>7582837</pmid><doi>10.1111/j.1524-4725.1995.tb00536.x</doi><tpages>4</tpages></addata></record> |
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subjects | Ambulatory Surgical Procedures - methods Biological and medical sciences Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - therapy Dermatology Head and Neck Neoplasms - pathology Head and Neck Neoplasms - therapy Humans Intraoperative Care - methods Male Medical sciences Middle Aged Mohs Surgery - methods Neoplasm Recurrence, Local - pathology Neoplasm Recurrence, Local - therapy Radiotherapy Dosage Radiotherapy, Adjuvant - methods Surgical Flaps Tumors of the skin and soft tissue. Premalignant lesions |
title | Intraoperative Radiation Therapy and Mohs Micrographic Surgery on an Outpatient Basis |
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