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August 14, 1981

Treatment of Skin Carcinoma of the Face and Neck-Reply

Author Affiliations

Fountain Valley, Calif

JAMA. 1981;246(7):734. doi:10.1001/jama.1981.03320070017011

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In Reply.—  It appears that Dr Lindsay has misconceptions about radiation therapy in the treatment of any form of cancer, and more particularly, in the treatment of carcinomas of the skin. There are great differences in the manner in which radiotherapy may be administered; such differences affect not only the choosing of the proper equipment and filtration, but also especially affect the time-dose factors. Judgment of results cannot be made on the assumption that any practice is comparable with another. If one were to base one's judgment on Dr Lindsay's experience, one would have to agree with him. What we have presented is evidence that skillful irradiation, using filtered radiations adequately fractionated over several weeks of daily irradiation, results not only in easy and constant control of carcinomas, but, in addition, in the best conservative and aesthetic results. That Dr Lindsay has not been privileged to observe these possibilities is