RADIOTERAPIA IPOFRAZIONATA NEI TUMORI CUTANEI AVANZATI NEL PAZIENTE ANZIANO: CASE REPORT R.L.E. Liardo, G. Mazzone, S. Bonanno Vol.2 (2017), issue 2, pag. 1-9
Accepted for pubblication
Non-melanoma skin cancer accounts for about 95% of all skin cancers.
Their incidence is constantly increasing. Although rarely metastatic,
they are characterized by a signi cant local aggressiveness. Surgery and radiotherapy are the most effective treatments. Radical radiotherapy is usually performed for facial locations, in older patients or un t for surgery.
Material and methods
We report the case of a 92-year-old patient with diagnosis of "multiple
spinocellular carcinoma of the skin". Lesions were at the vertex
(scalp) and face (right cheek). The diagnostic pathway is marked by
specialist examinations of dermatology, blood samples, cutaneous
swabs (mycological and bacteriological), cutaneous biopsy and brain
and neck CT. In November 2016, patient makes medical examination
with radiation oncologist. The most noticeable feature of the vertebral
injury was bleeding, that of the face was the loss of substance.
It is proposed a hypo-fractionated radiotherapy scheme, based on
performance status, age and clinical presentation of the disease. In
both sites, were administered 36 Gy in 6 weekly fractions (electrons
15 MeV). Treatment was completed as scheduled, with remarkable
hemostatic and cytoreductive effects, already evident during treatment.
Six months after treatment, there is good local control with dimensional reduction of lesions and loss of substance.
Hypofractionated radiotherapy is an effective option for treatment of
cutaneous tumors. Due to low toxicity and excellent results obtained in
terms of local control, it can be safely administered in elderly patients.