Abstract
We present here a novel approach for the planning and treatment of a distal upper extremity soft tissue tumor. Utilizing computed tomography (CT) based electron dose calculations, a customized compensating wax bolus was designed in order to deliver sufficient dose coverage to the tumor volume while sparing the draining lymphatics of the patient's hand and digits. A clinical case is presented as well as the design and construction of the compensator. Outcome and clinical implications are discussed.
MeSH terms
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Adult
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Biopsy
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Combined Modality Therapy
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Electrons / therapeutic use
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Female
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Follow-Up Studies
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Hand* / pathology
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Hand* / radiation effects
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Hand* / surgery
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Humans
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Radiotherapy Dosage
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Radiotherapy Planning, Computer-Assisted / instrumentation*
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Rhabdomyosarcoma / pathology
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Rhabdomyosarcoma / radiotherapy*
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Rhabdomyosarcoma / surgery
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Soft Tissue Neoplasms / pathology
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Soft Tissue Neoplasms / radiotherapy*
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Soft Tissue Neoplasms / surgery
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Tomography, X-Ray Computed / instrumentation*
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Treatment Outcome