29 Skin Cancer

Skin Cancer

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THE GEC ESTROHANDBOOKOF BRACHYTHERAPY | Part II Clinical Practice Version 1 - 30/04/2017

Fig. 31.1: Leipzig applicator TM of 10, 20 and 30 mm internal diameter. The HDR source is positioned vertically (first 3 applicators) or horizontally (last 3 applicators) in the tip of the applicator, having different dose distributions.

Fig. 31.2: Treatment of a superficial basal cell carcinoma of the left inner canthus in a 78 year old lady with the Valencia applicator. The CTV (GTV plus 3 mm margin) is delineated. The delineator cap of 20mm inner diameter is brought to the correct position and the outer diameter is delineated on the skin. Verification of the correct positioning by controlling the indentation of the inner diameter around the CTV. Applying the applicator within the delineated area and fixation with tape and net (not shown).