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
Hauptverfasser: SIEGLE, RONALD J., HOUSER, STEVEN, NAG, SUBIR, SUMMERS, BRADLEY K.
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container_end_page 978
container_issue 11
container_start_page 975
container_title Dermatologic surgery
container_volume 21
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
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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><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. 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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. 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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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