Locally advanced verrucous carcinoma of the oral cavity Treatment using customized mold HDR brachytherapy instead of hemi-maxillectomy

K. M. J. van Gestel, D. J. M. Buurman, R. Pijls, P. A. W. H. Kessler, P. L. A. van den Ende, A. L. Hoffmann, E. G. C. Troost*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Background. Oral verrucous carcinomas are locally invasive but rarely metastasize. Current treatment options include surgery and external beam radiotherapy (EBRT). In medical inoperable patients or irresectable tumors, high-dose-rate (HDR) brachytherapy is a valid alternative. Case. We present an 85-year-old man with functionally irresectable cT3N0M0 verrucous carcinoma superficially spreading along the upper alveolar ridge to the retro-alveolar triangle, with infiltration of the left soft and hard palate and buccal mucosa. Using a customized intraoral mold, this patient was treated with HDR brachytherapy delivering a dose of 48 Gy in 12 fractions three times per week. Treatment was well tolerated, and after prolonged confluent mucositis the tumor is in complete remission. Review of literature and conclusion. The scarce literature on customized mold HDR brachytherapy in maxillary tumors is reviewed and recommendations for other head and neck tumors are given.
Original languageEnglish
Pages (from-to)894-898
JournalStrahlentherapie Und onkologie
Issue number10
Publication statusPublished - Oct 2013


  • HDR brachytherapy
  • Verrucous carcinoma
  • Oral cavity
  • Review

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