Benign Flashcards
1
Q
MOA for keloids
Treatment options and doses for keloid scars
A
Overgrowth of granulation tissue (type III collagen)
Surgery alone - LR>50%
Surgery followed by SXR within 25-72 hrs: 21Gy/3#, or 18/3 if earlobe
Definitive RT - 37.5/5#
2
Q
Grading for Dupuytren’s:
A
Grades 1 -3.
1=nodules only,
2 = peritendinous band that limits extension of the affected finger. Assess by hyperextension of fingers
3 = flexion contracture.
3
Q
Dose and CTV for Dupuytren’s:
A
30Gy in 10#s, given as 15/5 (3Gy daily) separated by 6 weeks.
CTV
cords/nodules plus 1-2 cm margin
Alternatively cover the entire palmar fascia extending from distal edge of flexor retinactulum to or past the 1st digital creases,
