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Adaptation of the Stanford technique for treatment of bulky cutaneous T-cell lymphoma of the head  Safia K. Ahmed, MD, Michael P. Grams, PhD, Sarah E.

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Presentation on theme: "Adaptation of the Stanford technique for treatment of bulky cutaneous T-cell lymphoma of the head  Safia K. Ahmed, MD, Michael P. Grams, PhD, Sarah E."— Presentation transcript:

1 Adaptation of the Stanford technique for treatment of bulky cutaneous T-cell lymphoma of the head 
Safia K. Ahmed, MD, Michael P. Grams, PhD, Sarah E. Locher, PhD, Luke B. McLemore, MS, Terence T. Sio, MD, MS, James A. Martenson, MD  Practical Radiation Oncology  Volume 6, Issue 3, Pages (May 2016) DOI: /j.prro Copyright © 2016 The Authors Terms and Conditions

2 Figure 1 Exophytic lesions present on head and neck at time of radiation oncology consultation. Practical Radiation Oncology 2016 6, DOI: ( /j.prro ) Copyright © 2016 The Authors Terms and Conditions

3 Figure 2 Setup for pretreatment dosimetric verification using a Rando phantom and Gafchromic EBT3 film. The dashed lines indicate the location of films placed axially at the level of the eyebrows, nose, and neck. Practical Radiation Oncology 2016 6, DOI: ( /j.prro ) Copyright © 2016 The Authors Terms and Conditions

4 Figure 3 Results of dosimetric film measurements in the axial plane on the Rando phantom at eyebrow level (A) and in the sagittal plane (B). The thick, protruding ears caused a dose-shadowing effect responsible for the 380 to 400 cGy isodose lines breaking up circumferentially in the axial plane. Practical Radiation Oncology 2016 6, DOI: ( /j.prro ) Copyright © 2016 The Authors Terms and Conditions

5 Figure 4 Complete response 2 months following last treatment.
Practical Radiation Oncology 2016 6, DOI: ( /j.prro ) Copyright © 2016 The Authors Terms and Conditions

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