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Total scalp radiation using image-guided IMRT for progressive cutaneous T cell lymphoma

¹ Division of Radiation Oncology, The Ottawa Hospital Cancer Centre and University of Ottawa, ² Department of Radiation Therapy, The Ottawa Hospital Cancer Centre, ³ Department of Medical Physics, The Ottawa Hospital Cancer Centre and The University of Ottawa and Carleton University, ⁴ Department of Radiation Therapy, The Ottawa Hospital Cancer Centre, ⁵ Division of Hematology and Bone Marrow Transplant, The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada

Correspondence: Rajiv S Samant, Division of Radiation Oncology, The Ottawa Hospital Cancer Centre, 501 Smyth Road, Ottawa ON K1H 8L6, Canada. E-mail: rsamant{at}ottawahospital.on.ca

Modern radiotherapy has advanced dramatically over the past decade and it is now possible to focus radiotherapy with extreme precision. This allows the radiation dose to be targeted to the area(s) of tumour while sparing adjacent normal tissues even in seemingly complicated and difficult parts of the body. The case report presented here will illustrate how it is possible to irradiate the entire scalp for extensive cutaneous T cell lymphoma while minimising radiotherapy to the underlying brain, orbits and other critical structures.