Subungal squamous cell carcinoma of the thumb - Implications for patient setup and radiotherapy planning

Niall O'Dwyer; Karen Olden; Adrian J Cubbin; Paul Hill; Aileen Flavin; Kathy Rock

doi:10.1016/j.tipsro.2020.11.001

Subungal squamous cell carcinoma of the thumb - Implications for patient setup and radiotherapy planning

Tech Innov Patient Support Radiat Oncol. 2020 Dec 3:16:83-86. doi: 10.1016/j.tipsro.2020.11.001. eCollection 2020 Dec.

Authors

Niall O'Dwyer¹, Karen Olden¹, Adrian J Cubbin¹, Paul Hill¹, Aileen Flavin¹, Kathy Rock¹

Affiliation

¹ Department of Radiation Oncology, Cork University Hospital, Cork, Ireland.

Abstract

Subungal squamous cell carcinoma (SSCC) is a rare malignancy of the nail bed. We present the case of a woman diagnosed with a SSCC of the right thumb. Initial management consisted of surgically excision followed by adjuvant radiotherapy due to a positive bone margin. We describe the patient set-up, immobilisation technique, target volume delineation, radiotherapy planning, fractionation schedule, image guidance and patient outcomes.

Keywords: Patient setup; Radiotherapy; Skin cancer; Subungal squamous cell carcinoma.

Publication types

Case Reports