Radiotherapy for the nose
- Volumetric modulated arc therapy (VMAT) for skin field cancerisation of the nose – A technique and case report
- Three-dimensional conformal therapy for nose Definitive Radiotherapy for Basal Cell Carcinoma and Cutaneous Squamous Cell Carcinoma of the Nose.
- Fractionation in nasal alar Less is more when treating the nasal ala with superficial radiotherapy.
Radiotherapy for the eyelid
- Superficial X-ray radiotherapy results in tissue conservation and long-term control of melanoma in situ of the lower eyelid.
- Tanous A, Tighe D, Bartley J, Fogarty GB et al. Lesion-based radiotherapy of the ears, lips and eyelids for skin cancer. Int J Radiol Radiat Ther. 2021;8(1):32‒42. DOI: 10.15406/ijrrt.2021.08.00292.
- Gorjiara T, Conway A, Sullivan J, Fogarty GB et al. A technique for external beam radiotherapy to the eyelid without the need for an internal eye shield. Int J Radiol Radiat Ther. 2021;8(3):92‒98. DOI: 10.15406/ijrrt.2021.08.00300
Radiotherapy of the ears
Radiotherapy of the lips
Radiotherapy for legs
Radiotherapy for the genitals
Radiotherapy to the back
Radiotherapy and hair
- Radiation therapy with superficial x rays results in long term control and less epilation than megavoltage electron therapy for forehead Bowen rsquo s disease
- Scalp hair repigmentation in the penumbral region of radiotherapy– a case series.
Radiotherapy for melanoma
Lentigo Maligna or Melanoma-in-situ or Hutchinson’s melanotic Freckle (HMF)
- Tangential Volumetric Modulated Radiotherapy – A New Technique for Large Scalp Lesions with a Case Study in Lentigo Maligna.
- Superficial X-ray radiotherapy results in tissue conservation and long-term control of melanoma in situ of the lower eyelid.
- Radiotherapy for lentigo maligna: a literature review and recommendations for treatment.” British Journal of Dermatology 170, no. 1 (2014): 52-58.
- Experience with Treating Lentigo Maligna with Definitive Radiotherapy. Dermatol Res Pract. 2018 Jul 15;2018
- Is more dose and skin reaction required when treating early lentigo maligna definitively with radiotherapy? A case series.
- Rocha LKFL, Vilain RE, Scolyer RA, Lo SN, Drummond M, Star P, Fogarty GB, Hong AM, Guitera P. Confocal microscopy, dermoscopy, and histopathology features of atypical intraepidermal melanocytic proliferations associated with evolution to melanoma in situ. International Journal of Dermatology. PMID 34351639 DOI: 10.1111/ijd.15815
- Guitera P, Waddell A, Paton E, Fogarty GB, Hong A , Scolyer RA, Stretch JR, O’Donnell BA, Pellacani G. A practical guide on the use of imiquimod cream to treat
lentigo maligna. The Australasian Journal of Dermatology. PMID 34529272 DOI: 10.1111/ajd.13720
Melanoma Brian Metastases
- Adjuvant whole-brain radiation therapy compared with observation after local treatment of melanoma brain metastases: a multicentre, randomized phase III trial. Journal of Clinical Oncology. 2019 Sep 25;37(33).
- The utility of MRI in the detection of brain metastases in the staging of cutaneous melanoma. ClinOncol (R CollRadiol). 2006 May; 18(4):360-2.
- Survival and prognostic factors for patients with melanoma brain metastases in the era of modern systemic therapy.
- Hippocampal avoidance with volumetric modulated arc therapy in melanoma brain metastases — the first Australian experience. BMC RO 2013 Mar 18;8(1):62.
Merkel Cell Carcinoma
- Radiotherapy is associated with significant improvement in local and regional control in Merkel cell carcinoma.
- The Utility of Positron Emission Tomography (PET) Surveillance Following Definitive Therapy For Merkel Cell Carcinoma – An Australian Case Series
- The changing paradigm of managing Merkel cell carcinoma in Australia: an expert commentary.
Radiotherapy for skin field cancerisation
- A radiation oncology approach for using definitive radiotherapy with volumetric modulated arc therapy (VMAT) for skin field cancerisation (SFC)
- Volumetric modulated arc therapy (VMAT) for skin field cancerisation of the nose – A technique and case report
- Volumetric modulated arc therapy (VMAT) for extended skin field cancerisation (ESFC): Radiobiological learnings from unique patient cases
- A technique for treating extended skin field cancerisation using volumetric modulated arc therapy
- Can Modern Radiotherapy be used for Extensive Skin Field Cancerisation: An Update on Current Treatment Options.
- Fogarty GB, Young S,, Lo S, et al. Field-based radiotherapy using volumetric modulated arc therapy (VMAT) for skin field cancerisation (SFC)– outcomes from 100 consecutive fields. Int J Radiol Radiat Ther. 2021;8(1):13‒24. DOI: 10.15406/ijrrt.2021.08.00290
Radiotherapy for Bowens Disease/In-situ SCC/ Intraepithelial Carcinoma
Radiotherapy for Extra mammary Pagets disease (EMPD)
Radiotherapy for Rosacea
Radiotherapy for Psoriasis
Radiotherapy for PTEN hamartomatous skin
Radiotherapy for disseminated superficial actinic porokeratosis (DSAP)
Superficial radiotherapy
- SXRT for Extramammary Paget’s Disease Split Course Superficial Radiotherapy in Scrotal Extramammary Paget’s Disease Allows Course Completion With Minimal Side Effects: A Case Study
- Fractionation in nasal alar Less is more when treating the nasal ala with superficial radiotherapy.
- SXRT in Bowens Disease Radiation therapy with superficial X-rays results in long-term control and less epilation than megavoltage electron therapy for forehead Bowen’s disease.
- LM lower eyelid Superficial X-ray radiotherapy results in tissue conservation and long-term control of melanoma in situ of the lower eyelid.
- Split Course SXRT for Extramammary Paget’s Disease Split Course Superficial Radiotherapy in Scrotal Extramammary Paget’s Disease Allows Course Completion With Minimal Side Effects: A Case Study
- Radiation toxicity Keratoacanthomas following definitive volumetric modulated arc radiotherapy for skin field cancerization.
- Fractionation in nasal alar Less is more when treating the nasal ala with superficial radiotherapy.
Improving Fractionation
- Adaptive split course radiotherapy (ASCRT) Locally advanced skin cancers of the frail and elderly – consider adaptive split course radiotherapy (ASCRT). Br J Dermatol. 2018 Aug 16. Volume179, Issue 6, December 2018, Pages 1416-1417. doi: 10.1111/bjd.17037.
- Adaptive Split Course Radiotherapy for Skin Cancers Decreases Toxicity and Improves Compliance.
- Fractionation in nasal alar Less is more when treating the nasal ala with superficial radiotherapy.
Improving Delivery
- LM lower eyelid Superficial X-ray radiotherapy results in tissue conservation and long-term control of melanoma in situ of the lower eyelid.
- SXRT in Bowens Radiation therapy with superficial X-rays results in long-term control and less epilation than megavoltage electron therapy for forehead Bowen’s disease.
- A technique for axillary radiotherapy for regional control of high risk skin cancer Australas Radiol. 2007 51 (3), 267–275.
- Another technique for radiation treatment of the supraorbital nerve. AustralasRadiol. 2005 Dec; 49(6):522-5.
Radiobiology
- Volumetric modulated arc therapy (VMAT) for extended skin field cancerisation (ESFC): Radiobiological learnings from unique patient cases.
- Unexpectedly severe acute radiotherapy side effects are associated with single nucleotide polymorphisms of the melanocortin-1 receptor.
- Characterization of the expression and activation of the epidermal growth factor receptor in squamous cell carcinoma of the skin. Br J Dermatol. 2007 Jan; 156(1):92-8.
- Three cases of activation of cutaneous squamous-cell carcinoma (SCC) during treatment with prolonged administration of Rituximab.
- Delay of post operative radiotherapy in high risk skin cancer can be associated with recurrence. J Plast Reconstr Aesthet Surg. 2006;59(2):203-5.
- Multiple malignancies and immunological diseases after radiotherapy: a new tumour suppressor gene disorder? ClinOncol (R Coll Radiol). 2005 Dec;17(8):668.
- Recurrent basal cell carcinoma causing spinal cord compression.ANZ J Surg Feb 2001 Vol 71; 2: pgs 129-131.
- Radiation recall reaction following gemcitabine Lung Cancer 33 (2000) 299-302.
- Large Solitary Distant Metastasis of Cutaneous Squamous Cell Carcinoma to Skin Graft Site with Complete Response Following Definitive Radiotherapy
General knowledge
- Dr Fogarty authored the radiotherapy chapter of the Cancer Australia 2019 keratinocyte guidelines
- Common dermatology questions and answers about the radiation treatment of skin cancer in the modern era.
- PhD “Advances in the radiotherapy of skin cancers” University of Technology Sydney conferred 3rd June2013.
- Guidelines for Radical Radiotherapy in Skin Cancer. Australas Radiol 2006 Jun;50(3):286-7
- Clinical practice guidelines for keratinocyte cancer
- Experiences in growing a skin radiation therapy practice.
New Techniques of Radiotherapy for skin cancer developed by Prof Fogarty
- Tangential Volumetric Modulated Radiotherapy – A New Technique for Large Scalp Lesions with a Case Study in Lentigo Maligna.
- Can Modern Radiotherapy be used for Extensive Skin Field Cancerisation: An Update on Current Treatment Options.
- A technique for treating extended skin field cancerisation using volumetric modulated arc therapy.
- Volumetric modulated arc therapy (VMAT) for skin field cancerisation of the nose – A technique and case report
- A radiation oncology approach for using definitive radiotherapy with volumetric modulated arc therapy (VMAT) for skin field cancerisation (SFC)
- SXRT for Extramammary Paget’s Disease Split Course Superficial Radiotherapy in Scrotal Extramammary Paget’s Disease Allows Course Completion With Minimal Side Effects: A Case Study.
Interactions with surgery
- Experience RT in grafts flaps Dwyer LJ, Haddad RL, Fogarty GB. Experiences when irradiating grafts and flaps for skin cancer. Int J Radiol Radiat Ther. 2020;7(3):71‒76. DOI: 10.15406/ijrrt.2020.07.00268
- Fractionation in nasal alar Butcher LM, Fogarty GB, Sinclair S, et al. Less is more when treating the nasal ala with superficial radiotherapy.
- Lessons learnt Fogarty GB, Ziebell A, Nicholls S, Shannon K, Haddad R. Lessons learnt from an apparent lack of clinical response following superficial radiation therapy of cutaneous squamous cell carcinoma.
- Radiotherapy treats a greater volume than surgery using an axillary sentinel node model: – a short report.
- Radiotherapy can cause haemostasis in bleeding skin malignancies. Case Reports in Medicine, vol. 2012, Article ID 168681, 2012.
- Cutaneous squamous cell carcinoma metastatic to parotid – analysis of prognostic factors and treatment outcome.
- Large Solitary Distant Metastasis of Cutaneous Squamous Cell Carcinoma to Skin Graft Site with Complete Response Following Definitive Radiotherapy
Interactions with systemic therapy, chemotherapy or immunotherapy
- Radiation recall reaction following gemcitabine
- Three cases of activation of cutaneous squamous-cell carcinoma (SCC) during treatment with prolonged administration of Rituximab
Skin Cancer Patient Advocacy Research
- Thoumi A, Fogarty GB, Paton EJ, et al. Is the contribution of Australian research to the national 2019 clinical practice guidelines for keratinocyte cancer adequate? A simple analysis. Int J Radiol Radiat Ther. 2021;8(4):144‒155. DOI: 10.15406/ijrrt.2021.08.00307
- Fogarty GB, Paton E, Allen J, et al. Towards better treatment outcomes for Australians with skin keratinocyte cancers-time for the patient voice? J Cancer Prev Curr Res. 2021;12(5):159-162. DOI: 10.15406/jcpcr.2021.12.00472
Education in skin radiotherapy for nurses
- Fogarty GB, Sutton A, Ni R, et al. A scientific approach to skin radiotherapy nursing Article 1 – The role of the nurse in patient assessment. Int J Radiol Radiat Ther. 2022;9(2):48‒54. DOI: 10.15406/ijrrt.2022.09.00324
- Fogarty GB, Mallon F, Athar A, et al. A scientific approach to skin radiotherapy nursing Article 2 – The anatomy, physiology, pathology and radiobiology of skin and its diseases. Radiology & Radiation Therapy. 2022;9(2):56‒67. DOI: 10.15406/ijrrt.2022.09.00325
- Fogarty GB, Bell N, Parker T, et al. A scientific approach to skin radiotherapy nursing Article 3 – The skin RT prescription and plan especially in relation to volume and dose. Int J Radiol Radiat Ther. 2022;9(2):69‒79. DOI: 10.15406/ijrrt.2022.09.00326
- Fogarty GB, Cooper B, Hodson MA, et al. A scientific approach to skin radiotherapy nursing Article 4 – How nurses can predict, explain, and care for the acute side effects that may arise during a course of skin radiotherapy. Int J Radiol Radiat Ther. 2022;9(4):105‒114. DOI: 10.15406/ijrrt.2022.09.00332
Interesting case studies