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Commentary
5 (
4
); 425-425

Commentary

Address for correspondence: Prof. Yoshimasa Mori, Department of Radiology and Radiation Oncology, Aichi Medical University, Nagakute, Aichi, Japan. E-mail: yoshim@aichi.med.u.ac.jp

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This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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This article was originally published by Medknow Publications & Media Pvt Ltd and was migrated to Scientific Scholar after the change of Publisher; therefore Scientific Scholar has no control over the quality or content of this article.

The authors presented two rare cases of scalp malignant nodular hidradenoma (MNH).[1] Both tumors recurred in spite of total excision and radiotherapy. The preferred treatment is an early wide surgical excision of the tumor. Recently, innovation of radiation delivery technique enabled IMRT (intensity modulated radiation therapy) for complex-shaped targets.[2] VMAT (volumetric modulated arc therapy) or Rapid Arc[3] therapy and helical tomotherapy[4] give a high dose to widely spread scalp and skull tumors, sparing the underlying brain parenchyma as much as possible. IMRT as well as chemotherapy including the molecular targeting therapy is to be evaluated for adjuvant therapy after the surgical resection or for salvage therapy in case of recurrence.

References

  1. , , , , , . Malignant nodular hidradenoma of scalp. J Neurosci Rural Pract. 2014;4:423-25.
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  2. , , , , , . Total scalp radiation using image-guided IMRT for progressive cutaneous T cell lymphoma. Br J Radiol. 2009;82:e122-5.
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  3. , , , , , . Total dural irradiation: RapidArc versus static-field IMRT: A case study. Med Dosim. 2012;37:175-81.
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  4. , , , , , . Brain-sparing holo-cranial radiotherapy: A unique application of helical tomotherapy. Clin Oncol (R Coll Radiol). 2011;23:86-94.
    [Google Scholar]

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