Would you consider re-irradiation for recurrence of Dupuytren's Contracture?
It's been 5+ years after the first course. If you decide to re-irradiate what dosing schema would you use?
Answer from: Radiation Oncologist at Community Practice
I have, in fact, re-treated one patient about two years after the first course because some nodules were progressing. I did a limited electron field with bolus to cover just the affected area and gave 200 x 10. Things seemed to stabilize after that. I would not treat a third time, however, but I hav...
Comments
Radiation Oncologist at Coastal Radiation Oncology How long would you wait after xiaflex to radiate? ...
Radiation Oncologist at Weatherby Health Care I typically wait 2 weeks following surgical releas...
Answer from: Radiation Oncologist at Community Practice
Agree with @James G. Pelton, especially since the total doses used for treatment are widely variable (as low as 10 Gy all the way to 40 Gy), with clinical study evidence supporting a minimum dose of 21 Gy. Seegenschmiedt et al., PMID 11172962Due to dose constraints for the hand being about 60 G...
Comments
Radiation Oncologist at Weatherby Health Care Thanks Dr. @Luh. I appreciate your insightful comm...
How long would you wait after xiaflex to radiate? ...
I typically wait 2 weeks following surgical releas...