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Circumferential volumetric modulated arc radiotherapy of the lower legs–a technique described in a case of disseminated superficial actinic porokeratosis


International Journal of Radiology & Radiation Therapy
Gerald B. Fogarty, Chris Farrow, Julie Bartley, Jenny Kim, Steven Wardle, Reza Rahbari, Chelsie O’Connor

Abstract

A case of a fit 65-year-old male with a long history of recalcitrant Disseminated Superficial Actinic Porokeratosis (DSAP) treated with Volumetric Modulated Arc Radiotherapy (VMAT) is presented. The whole circumference of both lower legs from knees to ankles were simultaneously treated to 43.2 Gray (Gy) in 24 fractions, one fraction short of the prescription dose of 45 Gy in 25 fractions. There was in-field clearance of DSAP at ten weeks.

Keywords

Radiotherapy, circumferential treatment, lower legs, volumetric modulated arc therapy, disseminated superficial actinic porokeratosis

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