How do you treat plantar fibromatosis with radiation?
Dr Seegenschmiedt visited Emory to give an expert lecture while I was a resident in the early 2000’s. I kept in touch. For those who don’t know, he literally wrote the book on RT for Ledderhose disease. In direct discussion with him, he favors split course 30 Gy in 10 fractions, 3Gy gray times five over one week, then a 12 week break, followed by another 3Gy times five over one week. They used orthovoltage, but electrons should do just fine. This was published by Seegenschmiedt et al in 2012. 91 patients were treated to 136 affected feet. 67 patients with 134 affected feet served as control group without radiotherapy. Six patients and 11 feet progressed, and of those, five patients with 7 feet had salvage surgery. 44% of the treated feet re...
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We have treated a few selected patients, but do not have as much follow up as with hands.
Ref. I have used include:
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I agree with the response from @Dr. First Last and use the same regimen.
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