Korean J Dermatol.  2002 Sep;40(9):1044-1050.

High Energy Electron Beam Therapy for Epithelial Skin Cancers of the Head and Neck

Affiliations
  • 1Department of Dermatology, St. Mary"s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. hjpark@catholic.ac.kr
  • 2Department of Radiation Therapy, St. Mary"s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

BACKGROUND: High energy electron beam therapy is an excellent modality for treating epithelial skin cancers with high local tumor control, good cosmesis and low complication.
OBJECTIVE
Our purpose was to determine the local control rate, complication rate and cosmesis of electron beam therapy with histopathologically confirmed epithelial skin cancers.
METHODS
A total of 23 consecutively treated, biopsy proven epithelial skin cancers of the head and neck treated with electron beam therapy were retrospectively analyzed to determine the rate of local control, radiotherapy reaction and cosmesis.
RESULTS
Seventy percent of patients received electron beam therapy after biopsy only and 26% received electron beam therapy following surgical excision with pathologically positive margins or insufficient excision. The overall local tumor control rate was 87%. Patients with basal cell carcinoma had a 89% overall control rate; patients with squamous cell carcinoma had 80%. Excellent or good cosmesis was achieved in 96%. Side effects were mild and self-limiting.
CONCLUSION
Electron beam therapy remains an excellent treatment modality for epithelial skin cancer and offers excellent cosmesis.

Keyword

Electron beam therapy; Epithelial skin cancer; Head and neck

MeSH Terms

Biopsy
Carcinoma, Basal Cell
Carcinoma, Squamous Cell
Head*
Humans
Neck*
Radiotherapy
Retrospective Studies
Skin Neoplasms*
Skin*
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