Mednet Logo

Would you consider re-irradiation for recurrence of Dupuytren's Contracture?

It's been 5+ years after the first course. If you decide to re-irradiate what dosing schema would you use?
2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Weatherby Health Care
Answered on

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...

Join for free or sign in to see the full answer

Mednet Member
Mednet Member
Radiation Oncology · Providence Health, St. Joseph Hospital
Answered on

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 ...

Join for free or sign in to see the full answer