Radiotherapy is an excellent treatment method for large skin cancers, invasive skin cancers, or for patients who choose to avoid surgery. Skin cancer doctors at My Skin Clinics work in with radiation-oncologists to assist in the treatment of certain types of skin cancers. Radiotherapy entails several visits to a Radiation –Oncology Specialist Centre, usually over several weeks to months.
Important facts on Radiotherapy for skin cancer
The most common situation for radiotherapy of skin cancer arises when the skin cancer is either very large or if there is spread to surround areas, including nerves. Skin cancer doctors may refer you to a radiation oncologist in the following situations-
Remember, the doctors at My Skin Cancer Clinic work as a TEAM and will work in with Dermatologists, Plastic Surgeons, and Radiation Oncologists to provide you with the best possible solution for your type of skin cancer.
In Australia, radiation therapy is administered and supervised by Specialists Radiation oncologist. Radiotherapy is administered in clinical centers on an outpatient basis. This requires several visits to the Specialist, over a period of weeks or months.
The initial visit involves planning how many sessions and the type of therapy needed. Subsequent visits are very quick and involve radiation of the treated area and surrounding skin. Each session takes approximately 15 minutes to complete.
Radiation therapy can be an excellent method to treat certain types of skin cancers because cancerous cells are sensitive to radiation -induced damage. The most frequently treated skin cancers in Australia are Basal Cell Cancers, and SCC or Squamous Cell Cancers.
Ideal skin cancers are-
Your skin cancer specialist will guide you as to the suitability of RADIATION therapy.
Acute side effects can occur during early treatment of your skin cancer. The side effects developed in the treatment area will depend on the location of your skin cancer, the type of skin cancer treated (ulcerated cancer versus nerve involvement of cancer such as a Basal Cell Tumour), the dose of radiotherapy, your medical condition and how the dose is delivered. Acute side effects include hair loss in the treated area, or decreased salivary flow. This may occur if a skin cancer is treated around the mouth or lip area.
Chronic side effects following radiotherapy for skin cancer may or may not occur. Most common chronic side effects from skin cancer radiotherapy include discolouration of the skin, blood vessels, and changes in the texture of the skin. Rarely a second cancer may occur many years after radiotherapy of the area.
Most commonly Skin Cancer doctors refer patients who have extensive basal cell cancers or BCCs with perineural or nerve spread. In this group, the use of adjunctive radiotherapy can be extremely successful.
Following radiotherapy, a regular skin check by your skin cancer doctor is recommended.
Medicare covers radiotherapy treatment for skin cancers, in some situations an out of pocket cost may apply.
Costing will depend on the number of treatments, and the number of skin cancers treated. Your oncologist will discuss this with you during your initial consultation.
No, radiotherapy is a very specialized field, and special equipment and safety requirements are needed. All radiotherapy procedures for skin cancers are performed in centres at the Wesley, Greenslopes or Mater Hospitals in an outpatient setting.
In cases where by sun-damage is thin (superficial) we may elect to use PDT, rather than radiation therapy.
Read more about PDT for Skin Cancers