Treating cutaneous T-cell lymphoma with highly irregular surfaces with photon irradiation using rice as tissue compensator

Lonika Majithia, Yi Rong, Farzan Siddiqui, Todd Hattie, Nilendu Gupta, Michael Weldon, Arnab Chakravarti, Henry K. Wong, Pierluigi Porcu, Meng Xu-Welliver

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: Cutaneous T-cell lymphoma (CTCL) is known to have an excellent response to radiotherapy, an important treatment modality for this disease. In patients with extremity and digit involvement, the irregular surface and depth variations create difficulty in delivering a homogenous dose using electrons. We sought to evaluate photon irradiation with rice packing as tissue equivalence and determine clinical tolerance and response. Materials and methods: Three consecutive CTCL patients with extensive lower extremity involvement including the digits were treated using external beam photon therapy with rice packing for tissue compensation. The entire foot was treated to 30-40 Gy in 2-3 Gy per fraction using 6 MV photons prescribed to the mid-plane of an indexed box filled with rice in which the foot was placed. Treatment tolerance and response were monitored with clinical evaluation. Results: All patients tolerated the treatment without treatment breaks. Toxicities included grade 3 erythema and desquamation with resolution within 4 weeks. No late toxicities were observed. All patients had a partial response by 4 weeks after therapy with two patients achieving a complete response. Patients reported improved functionality after treatment. No local recurrence has been observed. Conclusion: Tissue compensation with rice packing offers a convenient, inexpensive, and reproducible method for the treatment of CTCL with highly irregular surfaces.

Original languageEnglish (US)
Article number49
JournalFrontiers in Oncology
Volume5
Issue numberFEB
DOIs
StatePublished - Jan 1 2015

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Cutaneous T-Cell Lymphoma
Photons
Therapeutics
Foot
Oryza
Erythema
Lower Extremity
Radiotherapy
Extremities
Electrons
Recurrence

Keywords

  • Cutaneous T-cell lymphoma
  • Irregular surface
  • Radiotherapy
  • Tissue compensation

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Treating cutaneous T-cell lymphoma with highly irregular surfaces with photon irradiation using rice as tissue compensator. / Majithia, Lonika; Rong, Yi; Siddiqui, Farzan; Hattie, Todd; Gupta, Nilendu; Weldon, Michael; Chakravarti, Arnab; Wong, Henry K.; Porcu, Pierluigi; Xu-Welliver, Meng.

In: Frontiers in Oncology, Vol. 5, No. FEB, 49, 01.01.2015.

Research output: Contribution to journalArticle

Majithia, L, Rong, Y, Siddiqui, F, Hattie, T, Gupta, N, Weldon, M, Chakravarti, A, Wong, HK, Porcu, P & Xu-Welliver, M 2015, 'Treating cutaneous T-cell lymphoma with highly irregular surfaces with photon irradiation using rice as tissue compensator', Frontiers in Oncology, vol. 5, no. FEB, 49. https://doi.org/10.3389/fonc.2015.00049
Majithia, Lonika ; Rong, Yi ; Siddiqui, Farzan ; Hattie, Todd ; Gupta, Nilendu ; Weldon, Michael ; Chakravarti, Arnab ; Wong, Henry K. ; Porcu, Pierluigi ; Xu-Welliver, Meng. / Treating cutaneous T-cell lymphoma with highly irregular surfaces with photon irradiation using rice as tissue compensator. In: Frontiers in Oncology. 2015 ; Vol. 5, No. FEB.
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