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Would you consider re-irradiation for recurrence of Dupuytren's Contracture?
2 Answers
Mednet Member
Radiation Oncology · Weatherby Health Care
I have, in fact, re-treated one patient about two years after the first course because some nodules were progressing. I did a limited electron field with bolus to cover just the affected area and gave 200 x 10. Things seemed to stabilize after that. I would not treat a third time, however, but I hav...
Mednet Member
Radiation Oncology · Providence Health, St. Joseph Hospital
Agree with @Dr. First Last, especially since the total doses used for treatment are widely variable (as low as 10 Gy all the way to 40 Gy), with clinical study evidence supporting a minimum dose of 21 Gy.
Seegenschmiedt et al., PMID 11172962
Due to dose constraints for the hand being about 60 Gy (no ...