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Case Reports in Oncological Medicine
Volume 2015, Article ID 853823, 5 pages
Case Report

Innovative Approaches to Radiation Treatment for Mycosis Fungoides in the Setting of Collagen Vascular Disease

1Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins Hospital, Baltimore, MD 21287, USA
2Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA
3Dental Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA
4College of Dentistry, University of Oklahoma, Oklahoma City, OK 73117, USA
5Department of Oncology, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
6Department of Pathology, Yale-New Haven Hospital, New Haven, CT 06510, USA

Received 11 May 2015; Accepted 17 August 2015

Academic Editor: Marcel W. Bekkenk

Copyright © 2015 Stephanie A. Terezakis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Patients with connective tissue disorders are clinically challenging for radiation oncologists as these patients may be at increased risk for radiation-related skin toxicity. A clinical dilemma presents itself in a patient with lupus who presents with confluent skin lesions from mycosis fungoides requiring radiotherapy. In this report, we discuss an innovative technique used to develop an immobilization device that also effectively functioned as a uniform bolus with distinct dosimetric advantages to the use of a facial moulage.