Part 3: Special Considerations (other skin diseases)

What are other rare skin diseases that we treat with RTT

1. Cutaneous lymphomas (including Mycosis Fungoides)

2. Kaposi Sarcoma

def. a neoplastic disease of the T-cells, manifesting on the skin surface creating eczema-like or fungus-like patches, usually at several different areas of the skin

term. Cutaneous lymphomas (mycosis fungoides)

How do you treat mycosis fungoides?

1. TSI using Stanford technique- 6 angles

2. Topical Nitrogen Mustard -early stages only

TSI stand for

Total Skin Irradiation

Kaposi Sarcoma epidemiology

1. AIDS patients - an aggressive form

2. Common (relatively speaking) in North African + Mediterranean Men- another form

Kaposi Sarcoma is thought to arise from:

vascular tissue

Kaposi Sarcoma appearance

1. hard

2. raised

3. purplish

patches

that appear anywhere on the body

True or False: Kaposi sarcoma is curable

False, progression is slow but always fatal

Treatment of Kaposi Sarcoma

1. Surgery- only of few lesions

2. RTT- generally if multiple lesions

3. Chemo- sometimes if multiple lesions