Acute skin toxicity after contact brachytherapy for t lymphoma in the foot and ankle a case report and review of the literature

Abstract

Author(s): Fadwa Allouche*, M El Baraka, Fz Terrab, H Kabbaj, Ma Youssoufi, F Farhane, Z Alami, T Bouhafa and K Hassouni

Cutaneous T lymphoma is a relatively common type of Non-Hodgkin Lymphoma (NHL). It originates from mature T lymphocytes in the skin and takes on several anatomical and clinical forms which can be very aggressive. Contact brachytherapy is used to treat cancer of the skin in various places. In areas of poor vascularity, subject to constant trauma, such as extremities, radiotherapy can lead to prolonged scarring, chronic poorly treatable ulcerations, or even necrosis, requiring subsequent surgery. In this case study, we report on a young patient with cutaneous T-type mycosis fungoid lymphoma located on the right foot who was treated with contact brachytherapy. The cancer was cured, but the patient developed complex and acute skin toxicity which finally resolved after 8 weeks.

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