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Radiation Therapy for Cutaneous T-Cell Lymphomas
Daniel J. Tandberg, MD, Oana Craciunescu, PhD, Chris R. Kelsey, MD Dermatologic Clinics Volume 33, Issue 4, Pages (October 2015) DOI: /j.det Copyright © 2015 The Authors Terms and Conditions
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Fig. 1 Medical linear accelerator used to generate and deliver external beam radiation therapy. Dermatologic Clinics , DOI: ( /j.det ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 2 Plot of percentage of radiation dose (%) versus depth (mm) for various electron beam energies from 6 to 22 MeV. Dermatologic Clinics , DOI: ( /j.det ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 3 Method of local electron beam radiation therapy to cutaneous lymphoma lesions. A margin is drawn around visible or palpable disease (A). A lead cutout is created conforming to the target volume (B). The patient is positioned on the treatment table and the electron beam therapy is delivered by a medical linear accelerator (C). Note the bolus material placed over the cutaneous lesion that ensures the maximum dose is delivered to the skin surface (arrow). Dermatologic Clinics , DOI: ( /j.det ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 4 The six treatment positions used for total skin electron beam therapy. (From Smith BD, Wilson LD. Management of mycosis fungoides. Part 2: treatment. Oncology 2003;17(10):1424; with permission.) Dermatologic Clinics , DOI: ( /j.det ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 5 Patient undergoing total skin electron beam therapy. Both internal eye and mouth shields are used. The hands and feet are shielded and treated separately with photon fields. Dermatologic Clinics , DOI: ( /j.det ) Copyright © 2015 The Authors Terms and Conditions
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Fig. 6 Localized primary cutaneous anaplastic large cell lymphoma at diagnosis (A) and 3 months after radiation therapy (B). Dermatologic Clinics , DOI: ( /j.det ) Copyright © 2015 The Authors Terms and Conditions
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