Grade 4 radiation dermatitis presenting with full-thickness ulcerations of the groin after radiation therapy for anal squamous cell carcinoma (SCC): An.

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Grade 4 radiation dermatitis presenting with full-thickness ulcerations of the groin after radiation therapy for anal squamous cell carcinoma (SCC): An example of the “bolus effect” of radiation therapy Paul Blackcloud, BA, Ellen Dabela, MD, MBA, Marc E. Grossman, MD, FACP JAAD Case Reports Volume 1, Issue 6, Pages 389-391 (November 2015) DOI: 10.1016/j.jdcr.2015.09.001 Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A, Grade 4 radiation dermatitis of the groin bilaterally. Ulcerations 10- to 20-mm wide by 6- to 9-mm deep. B, Grade 4 radiation dermatitis of gluteal region. A 20- × 15-cm round ulcer extending to the perineum and scrotum. JAAD Case Reports 2015 1, 389-391DOI: (10.1016/j.jdcr.2015.09.001) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Transverse view of dose distribution from posterior-anterior axis. JAAD Case Reports 2015 1, 389-391DOI: (10.1016/j.jdcr.2015.09.001) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions