A novel setup approach for helical tomotherapy in head and neck cancer: A case report

  • Authors:
    • Marciana Nona Duma
    • Hans Geinitz
    • Severin Kampfer
    • Marco R. Kesting
  • View Affiliations

  • Published online on: September 2, 2013     https://doi.org/10.3892/ol.2013.1558
  • Pages: 1470-1474
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Head and neck cancers that are associated with high‑risk factors have a poor prognosis. In such patients, post‑operative radiochemotherapy is mandatory. The present study describes the case of a 71‑year‑old high‑risk head and neck cancer patient who was not able to tolerate the supine position for the radiotherapy setup. A lateral immobilization with a head mask and a vacuum cushion was performed. The patient underwent daily computed tomography (CT)‑guided radiation therapy [image‑guided radiation therapy (IGRT)]. At nine months post‑radiotherapy, the patient had no xerostomia and no swallowing dysfunction. However, the patient suffered a local recurrence and succumbed due to bleeding of the tumor a number of weeks after the recurrence. A recalculation of the actual delivered dose, taking the daily delivered dose into account, was performed. The recurrence occurred within the high‑dose region. In selected cases of patients with head and neck cancers who are unable to tolerate the supine position, lateral positioning and high precision treatment is possible using daily IGRT.
View Figures
View References

Related Articles

Journal Cover

November 2013
Volume 6 Issue 5

Print ISSN: 1792-1074
Online ISSN:1792-1082

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Duma MN, Geinitz H, Kampfer S and Kesting MR: A novel setup approach for helical tomotherapy in head and neck cancer: A case report. Oncol Lett 6: 1470-1474, 2013.
APA
Duma, M.N., Geinitz, H., Kampfer, S., & Kesting, M.R. (2013). A novel setup approach for helical tomotherapy in head and neck cancer: A case report. Oncology Letters, 6, 1470-1474. https://doi.org/10.3892/ol.2013.1558
MLA
Duma, M. N., Geinitz, H., Kampfer, S., Kesting, M. R."A novel setup approach for helical tomotherapy in head and neck cancer: A case report". Oncology Letters 6.5 (2013): 1470-1474.
Chicago
Duma, M. N., Geinitz, H., Kampfer, S., Kesting, M. R."A novel setup approach for helical tomotherapy in head and neck cancer: A case report". Oncology Letters 6, no. 5 (2013): 1470-1474. https://doi.org/10.3892/ol.2013.1558