3D technique in superficial brachytherapy: New attitude in old field of mycosis fungoides

Helena Kamieniecka; Jacek Rutkowski

doi:10.5114/jcb.2024.143212

eISSN: 2081-2841
ISSN: 1689-832X

Journal of Contemporary Brachytherapy

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4/2024
vol. 16

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abstract:

Case report

3D technique in superficial brachytherapy: New attitude in old field of mycosis fungoides

Helena Kamieniecka

¹

,

Jacek Rutkowski

²

Medical University of Gdańsk, Gdańsk, Poland
Department of Oncology and Radiotherapy, University Clinical Centre in Gdańsk, Gdańsk, Poland

J Contemp Brachytherapy 2024; 16, 4: 310-313

DOI: https://doi.org/10.5114/jcb.2024.143212

Online publish date: 2024/09/20

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A case report of non-classical treatment choice for mycosis fungoides (MF) presented on the left upper eyelid and forehead. Superficial brachytherapy using 3D technique was prescribed to preserve the lens’s functionality, and successfully eliminate malignant lesion. Treatment was conducted with high-dose-rate (HDR) brachytherapy using iridium-192 (¹⁹²Ir) source as a base and Flexitron device as an afterloader. Applicators were immobilized and located near the lesion by manually shaped molds. Doses were calculated using Oncentra treatment planning system (ELEKTA^®) with 3D models based on CT scans. A 12-month follow-up showed sustained remission without any late toxicity or recurrence of MF skin lesions on the face.

keywords:

3D technique in superficial brachytherapy: New attitude in old field of mycosis fungoides

Helena Kamieniecka 1 , Jacek Rutkowski 2

mycosis fungoides, superficial brachytherapy, 3D technique, critical structures

Helena Kamieniecka

¹

,

Jacek Rutkowski

²