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Volume 10, Number 5, 2005

Individual moulds for contact pulsed dose rate brachytherapy in head and neck cancer

Adam Ziemlewski, Krystyna Serkies, Józef Zienkiewicz, Magdalena Ziemlewska, Katarzyna Maciejewska, Wojciech Kiewlicz, Tomasz Sawicki, Jacek Jassem


Aim To present three cases treated with contact pulsed dose rate (PDR) brachytherapy using individually prepared moulds.
Materials/Methods The study group included one case of hard palate cancer treated with brachytherapy, applied as a boost to external beam radical irradiation and two cases of recurrent ethmoid and maxillary sinus cancer in which we administered palliative brachytherapy as the sole treatment for tumours located within previously irradiated areas.
Results Good fitting of the moulds to the target was obtained. Satisfactory local control, including complete hard palate cancer remission for six years, and acceptable side effects were achieved.
Conclusions Contact PDR brachytherapy using individually constructed moulds allows for the treatment of anatomical structures with diffi cult access. This method seems to be an effective and relatively safe treatment option for tumours located within previously irradiated areas.

Signature: Rep Pract Oncol Radiother, 2005; 10(5) : 265-269


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