Journal of Medical Physics
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Year : 2004  |  Volume : 29  |  Issue : 1  |  Page : 21-25

Treatment Of Intaroral Cancers And Some Unconventional Sites



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Kamalesh Passi


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We have treated 18 patients with surface mould brachytherapy, which includes 12 patients i.e. 66.67 % of intraoral cancers and remaining of other sites. The treatment of choice for localized lesions is electrons with intraoral cones in oral cancers. In absence of this facility one thinks of surgery or external radiotherapy. At our centre we have successfully treated these patients with surface mould using Selectron LDR and Ir-I92 sources. To adopt this technique it was required to have flexible applicators to suit the mould as well as surface anatomy of the tumor as it was not comfortable to use Selectron rigid applicator for all sites. Flexible applicator was designed and fabricated in the institute and is successfully used after proper calibration for the treatment purposes. We have achieved complete response in 15 patients i.e. 88.24% and partial response in 2 patients (11.76%). This technique was found comfortable, inexpensive, non invasive and helped in avoiding mutilating surgeries.


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