EJMCR |

Case Report

Volume: 7 | Issue: 8 | Published: Dec 18, 2023 | Pages: 158 - 160 | DOI: 10.24911/ejmcr/173-1668678100

Water bolus in photon-beam therapy of irregular skin lesions of extremities: a case report

Authors: Catarina Novalio Oliveira , Diana Ferreira Braga , Nelson Miranda Ferreira , Claudia Matias Silva , Ines Henriques de Carvalho Pino , Filomena Trindade Santos

Article Info

Authors

Catarina Novalio Oliveira

Department of Radiation Oncology, Instituto Portugues de Oncologia de Lisboa Francisco Gentil, Rua Professor Lima Basto 1099-023, Lisbon, Portugal

ORCID

Diana Ferreira Braga

Department of Radiation Oncology, Instituto Portugues de Oncologia de Lisboa Francisco Gentil, Rua Professor Lima Basto 1099-023, Lisbon, Portugal

Nelson Miranda Ferreira

Department of Radiation Oncology, Instituto Portugues de Oncologia de Lisboa Francisco Gentil, Rua Professor Lima Basto 1099-023, Lisbon, Portugal

ORCID

Claudia Matias Silva

Department of Radiation Oncology, Instituto Portugues de Oncologia de Lisboa Francisco Gentil, Rua Professor Lima Basto 1099-023, Lisbon, Portugal

Ines Henriques de Carvalho Pino

Department of Radiation Oncology, Instituto Portugues de Oncologia de Lisboa Francisco Gentil, Rua Professor Lima Basto 1099-023, Lisbon, Portugal

Filomena Trindade Santos

Department of Radiation Oncology, Instituto Portugues de Oncologia de Lisboa Francisco Gentil, Rua Professor Lima Basto 1099-023, Lisbon, Portugal.

Publication History

Received: April 17, 2023

Revised: June 27, 2023

Accepted: June 27, 2023

Published: December 18, 2023

Abstract

Background: Mycosis fungoides (MF) represents the most common cutaneous T-cell lymphoma and approximately 4% of non-Hodgkin lymphomas. Treatment of skin lesions includes external beam radiation therapy which often provides adequate local control and symptom relief. Case presentation: A 39-year-old male with the diagnosis of MF presents with infiltrative and pruriginous plaques comprising the plantar, interdigital, lateral and posterior surfaces of the foot. A protocol using a water tank was used to provide uniform coverage to an irregular target volume. By creating a tissue-equivalent and homogenous bolus material a total dose of 8Gy in 2 fractions of photon-beam therapy was prescribed. After one month of treatment there was a partial response with minimal toxicity, achieving complete response in most lesions after six months. Conclusion: Photon-beam therapy for irregular surfaces such as extremities is a valid alternative to conventional electron-beam radiation by attaining uniform coverage while minimizing hotspots. Treatment utilizing a water tank is well-tolerated and has good clinical outcomes even in the presence of extensive skin lesions.

Keywords: Case report, radiation therapy, mycosis fungoides, irregular surface, water tank, tissue compensation, green

Pubmed Style

Catarina Novalio Oliveira, Diana Ferreira Braga, Nelson Miranda Ferreira, Claudia Matias Silva, Ines Henriques de Carvalho Pino, Filomena Trindade Santos. Water bolus in photon-beam therapy of irregular skin lesions of extremities: a case report. EJMCR. 2023; 18 (December 2023): 158-160. doi:10.24911/ejmcr/173-1668678100

Web Style

Catarina Novalio Oliveira, Diana Ferreira Braga, Nelson Miranda Ferreira, Claudia Matias Silva, Ines Henriques de Carvalho Pino, Filomena Trindade Santos. Water bolus in photon-beam therapy of irregular skin lesions of extremities: a case report. https://ejmcr.com/articles/1204 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1668678100

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Catarina Novalio Oliveira, Diana Ferreira Braga, Nelson Miranda Ferreira, Claudia Matias Silva, Ines Henriques de Carvalho Pino, Filomena Trindade Santos. Water bolus in photon-beam therapy of irregular skin lesions of extremities: a case report. EJMCR. (2023), [cited December 25, 2024]; 18 (December 2023): 158-160. doi:10.24911/ejmcr/173-1668678100

Harvard Style

Catarina Novalio Oliveira, Diana Ferreira Braga, Nelson Miranda Ferreira, Claudia Matias Silva, Ines Henriques de Carvalho Pino, Filomena Trindade Santos (2023) Water bolus in photon-beam therapy of irregular skin lesions of extremities: a case report. EJMCR, 18 (December 2023): 158-160. doi:10.24911/ejmcr/173-1668678100

Chicago Style

Catarina Novalio Oliveira, Diana Ferreira Braga, Nelson Miranda Ferreira, Claudia Matias Silva, Ines Henriques de Carvalho Pino, Filomena Trindade Santos. "Water bolus in photon-beam therapy of irregular skin lesions of extremities: a case report." 18 (2023), 158-160. doi:10.24911/ejmcr/173-1668678100

MLA (The Modern Language Association) Style

Catarina Novalio Oliveira, Diana Ferreira Braga, Nelson Miranda Ferreira, Claudia Matias Silva, Ines Henriques de Carvalho Pino, Filomena Trindade Santos. "Water bolus in photon-beam therapy of irregular skin lesions of extremities: a case report." 18.December 2023 (2023), 158-160. Print. doi:10.24911/ejmcr/173-1668678100

APA (American Psychological Association) Style

Catarina Novalio Oliveira, Diana Ferreira Braga, Nelson Miranda Ferreira, Claudia Matias Silva, Ines Henriques de Carvalho Pino, Filomena Trindade Santos (2023) Water bolus in photon-beam therapy of irregular skin lesions of extremities: a case report. , 18 (December 2023), 158-160. doi:10.24911/ejmcr/173-1668678100