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When would you treat Dupuytren's contracture with radiation?
Would you treat Dupuytren’s contracture shortly after surgery or wait till patient develops new contracture? What dose and fractionation do you use?
Answer from: Radiation Oncologist at Academic Institution
I would not offer any radiation therapy after a surgical procedure for Dupuytren's contracture. Should patient develop recurrent nodules that progress more than 6 months following surgery, then I would consider definitive split course electron beam therapy to deliver 30 Gy at 3 Gy per fraction with ...
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Answer from: Radiation Oncologist at Community Practice
My only experience has been in patients who have previously undergone surgery and recurred, as per @Aaron H. Wolfson's recommendations. The most popular fractionation schedule used in Germany (where much of the research on XRT for benign diseases comes from), is a split course regimen where 5 fracti...
Answer from: Radiation Oncologist at Community Practice
Patients who require surgery for contracture have an extremely high recurrence rate. Hence, I wait about 2 weeks for healing, then deliver 250cGy x 10 with electron beam and have had a high success rate in preventing a recurrence. No split course.
James Pelton
Bellevue, Wa