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British Journal of Radiology (2005) 78, 143-146
© 2005 British Institute of Radiology
doi: 10.1259/bjr/20164607

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The hyfrecator: a treatment for radiation induced telangiectasia in breast cancer patients

C M E Rowland Payne, MBBS, MRCP 1,4 N Somaiah, MBBS, MD 2,4 A J Neal, MD, MRCP, FRCR 3 and J P Glees, MD, DMRT, FRCR 2,4,5

1 The London Clinic, London, 2 St. George's Hospital, London, 3 The Royal Surrey County Hospital, Guildford, 4 The Royal Marsden Hospital, Sutton, Surrey and 5 University of London, London, UK



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Figure 1. The hyfrecator. A versatile office-based electrosurgical instrument (courtesy of Schuco International, London Ltd).

 


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Figure 2. (a) Pre-treatment. Extensive telangiectasia (grade III) in the radiation boost area after breast cancer treatment. (b) During treatment. After three sessions, telangiectasia (now grade I) has reduced by about 70% (same patient). (c) End of treatment. After seven sessions, telangiectasia has completely disappeared (grade 0) (same patient).

 


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Figure 3. The hyfrecator for radiation induced telangiectasia. Change in severity of telangiectasia, judged photographically by two blinded physician observers (in one patient two separate sites were treated, making a total of 32 observations).

 





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