eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
Current Issue Archive Supplements Articles in Press Journal Information Aims and Scope Editorial Office Editorial Board Register as Author Register as Reviewer Instructions for Authors Abstracting and indexing Subscription Advertising Information Links
SCImago Journal & Country Rank

3/2022
vol. 14
 
Share:
Share:
more
 
 
abstract:
Original paper

High-dose-rate brachytherapy (interventional radiotherapy) in lip carcinoma with rigid needles: a simple technique with excellent results

Jose Luis Guinot
1
,
Maria Isabel Tortajada
1
,
Miguels Angel Santos
1
,
Maria Luisa Chust
1
,
Leoncio Arribas
1

1.
Department of Radiation Oncology, Fundacion Instituto Valenciano de Oncologia (I.V.O.), Valencia, Spain
J Contemp Brachytherapy 2022; 14, 3: 278–286
Online publish date: 2022/07/01
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Lip carcinoma has been treated for years with low-dose-rate (LDR) brachytherapy, achieving local control greater than 90%. Comparison between LDR and high-dose-rate (HDR) showed that they are equivalently efficient in local control, but HDR results in fewer complications. Interstitial implant of rigid needles or plastic tubes (interventional radiotherapy) is the current standard. Lip carcinomas are usually exophytic, and rigid parallel needles allow for a better dose distribution with more homogeneity, by adding needles placed outside the tissue to cover protruding lesions. Treatment is administered in 5 days, B.I.D. 4.5-5 Gy × 9 fractions. This pictorial essay illustrates the technique of implanting rigid needles in post-operative cases of early and advanced carcinomas of the lip. This technique is straightforward to learn, and is practical and safe with appropriate training. It should be considered in selected patients with lip carcinoma as the first therapeutic option. Departments with HDR brachytherapy units and experienced in interventional radiotherapy should be offering such treatment, as it greatly benefits patients with lip cancer diagnosis.
keywords:

needles, brachytherapy, high-dose-rate, carcinoma, lip

 
Quick links
© 2022 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.