{Reference Type}: Journal Article
{Title}: Radiation Therapy in Non-Melanoma Skin Cancers: An Italian Survey on Behalf of the Italian Association of Radiotherapy and Clinical Oncology.
{Author}: Pezzulla D;Pastore F;Fionda B;Cellini F;Di Franco R;Ciabattoni A;Corazzi F;Cossa S;Dominici L;Draghini L;Gherardi F;Lillo S;Longo S;Mazzarotto R;Navarria F;Piccolo F;Stefanelli A;Vicenzi L;Zamagni A;Maranzano E;Tagliaferri L;
{Journal}: Clin Oncol (R Coll Radiol)
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jun 13
{Factor}: 4.925
{DOI}: 10.1016/j.clon.2024.06.006
{Abstract}: <B>OBJECTIVE: </B>The National Palliative Care and Interventional Radiotherapy Study Groups of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) carried out a survey whose aim was to obtain a "snapshot" of the real-world practice of nonmelanoma skin cancer (NMSC) treatments in Italy.<BR><B>METHODS: </B>The survey was conducted on SurveyMonkey's online interface and was sent via e-mail to our society Radiation Oncologists.<BR><B>RESULTS: </B>Fifty-eight Italian radiation oncologists (ROs), representing 54 centers, answered the survey. Thirteen percent of the ROs declared they treat fewer than 10 NMSC lesions annually, 36% treat between 11 and 20, and 51% treat more than 20 lesions annually. Interventional radiotherapy (IRT) was offered by 25% of the ROs, and every case was reportedly discussed by a multidisciplinary team (71%). Electrons (74%), volumetric modulated arc therapy (V-MAT) (57%), three-dimensional conformal radiotherapy (3D-CRT) (43%), and IRT (26%) were the main treatment options. With external beam radiotherapy (EBRT), 46 and 53 different RT schedules were treated for curative and palliative intent, respectively; whereas for IRT, there were 21 and 7 for curative and palliative intent, respectively. The most popular EBRT curative options were 50-70.95/22-35 fractions (fx) and 50-70 Gy/16-20fx and for EBRT palliative settings, 30Gy/10fx, and 20-35Gy/5fx. For IRT, the most popular curative options were 32-50Gy/8-10fx and 30-54Gy/3-5fx, whereas 30Gy/6fz was the palliative option. Less than 10 re-RT cases were reported in one year in 42.5%, 11-20 cases in 42.5%, and >20 cases annually in 15%. Electrons (61%), VMAT (49%), and BRT (25%) were the most widely used approaches: 20-40Gy in 10fx and 20-25Gy in 5fx were the recommended fractionations.<BR><B>CONCLUSIONS: </B>The survey shows a variegated reality. A national registry with more detailed data could help in undercover its causes.