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To the Editor.—
Donald G. Lindsay, MD (1981;246:733), wrote that "radiation therapy of skin cancer is not carefully chosen nor well planned no matter how meticulously administered unless it is done with a consideration for the posttreatment result 20 to 25 years hence." The reply to Dr Lindsay's letter by Chahin M. Chahbazian, MD, and G. Stephen Brown, MD, did not address this point. Do Drs Chahbazian and Brown have any 25-year follow-ups on their proposed radiation therapy? The key point that Dr Lindsay made is that 20 to 25 years after radiation therapy, there is a breakdown of radiated skin. Where is Drs Chahbazian and Brown's evidence to refute this? Certainly not in their response to Dr Lindsay.
Ely PH. Treatment of Skin Carcinoma of the Face and Neck. JAMA. 1982;247(6):754. doi:10.1001/jama.1982.03320310018014
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