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Radionuclide Therapy of Skin Cancers and Bowen's Disease Using a Specially Designed Skin Patch

Authors
 Jong Doo Lee  ;  Kwang Kyun Park  ;  Min-Geol Lee  ;  Eun-Hee Kim  ;  Kyung un Rhim  ;  Jong Tae Lee  ;  Hyung Sik Yoo  ;  Young Mi Kim  ;  Kyung Bae Park  ;  Jae Rok Kim 
Citation
 JOURNAL OF NUCLEAR MEDICINE, Vol.38(5) : 697-702, 1997 
Journal Title
 JOURNAL OF NUCLEAR MEDICINE 
ISSN
 0161-5505 
Issue Date
1997
MeSH
Adult ; Aged ; Aged, 80 and over ; Animals ; Bowen's Disease/radiotherapy* ; Brachytherapy/methods* ; Carcinoma, Basal Cell/radiotherapy* ; Carcinoma, Squamous Cell/radiotherapy* ; Computer Simulation ; Dose-Response Relationship, Radiation ; Feasibility Studies ; Female ; Holmium/administration & dosage* ; Holmium/therapeutic use ; Humans ; Male ; Mice ; Mice, Hairless ; Mice, Inbred ICR ; Middle Aged ; Radiodermatitis/etiology ; Radioisotopes/administration & dosage* ; Radioisotopes/therapeutic use ; Skin Neoplasms/radiotherapy* ; Time Factors
Abstract
Skin cancer is the most common malignancy in humans. Therapeutic modalities for skin cancer are local destruction, radiotherapy and surgery. External radiation therapy leads to good results, however, generally 5-6 wk of treatment is needed to deliver optimal radiation dose to tumors. In this study, a beta-emitting radionuclide, 166Ho, impregnated in a specially designed patch, was used on superficial skin cancers and Bowen's disease for local irradiation. METHODS: Ten mice with chemically induced skin tumors were studied. Five-millimeter size patches containing 22.2-72.15 MBq (0.6-1.95 mCi) 166Ho were applied to the tumor surface for 1-2 hr. In a human trial, patients with squamous-cell carcinoma (n = 3), basal cell carcinoma (n = 1) and Bowen's disease (n = 1) were treated with patches containing 273.8-999 MBq (7.4-27 mCi) of 166Ho for 30 min to 1 hr. Pathologic examination was performed 4-7 wk after treatment in an animal model. Skin biopsy was performed 8 wk post-treatment in four patients. RESULTS: Tumor destruction was seen 1 wk post-treatment, however, radiation dermatitis or ulceration developed at the site of radionuclide application. Those reactions healed gradually with fibrosis or epithelialization, which was confirmed pathologically. No significant adverse reaction to radiation except subcutaneous fibrosis was found. CONCLUSION: Superficial skin tumors could be successfully treated by topical application of beta-emitting radionuclides.
Files in This Item:
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Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학교실) > 1. Journal Papers
Yonsei Authors
Park, Kwang Kyun(박광균)
Yoo, Hyung Sik(유형식)
Lee, Min Geol(이민걸) ORCID logo https://orcid.org/0000-0001-7040-5335
Lee, Jong Doo(이종두)
Lee, Jong Tae(이종태)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177341
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