Our lovely patient is a 76 year old male who presented with a total of four lesions, all squamous cell carcinomas (SCC), on his left lower leg. While we can treat up to six lesion at any one time, due to a few contributing factors discussed below, the lesions were treated over two separate occasions.
During the initial consultation, Dr Dicks discussed the merits of both superficial radiotherapy and surgery to treat the cancers. Our patient has Type 2 Diabetes meaning the risk of long-term ulceration and prolonged wound healing was higher so required detailed discussion. Considering superficial radiotherapy is less invasive, it was deemed the better solution and treatment began.
First round of treatment
Pre-treatment Post treatment
Our patients outcome was terrific. Given our patients pre-exisiting health condition, there was a slightly extended period of wound healing but overall, there were no complications. In fact, our patient and our team were thrilled with his speedy recovery.
Second round of treatment
Four month after completing the first round of treatment on one lesion, our patient was back to have the additional three lesions treated. Considering how successful the first round of treatment was, we were all keen to get started and see our patient cancer free.
Pre treatment Post treatment
These three lesion presented in a very similar fashion to the previous one and, as expected, the healing process was on par with the first round of treatment, with a marginally longer healing time but outstanding results overall.
Lower limbs respond well to Superficial Radiotherapy due to the following factors:
- They are notoriously harder to treat due to pre-existing medical conditions in the older or more frail patients
- Wound healing is a big consideration and superficial radiotherapy is less invasive, helping to combat this
- There is no skin grafts or hospitalisation required
- Chronic ulceration rates are low – in our experience, less than 5%