Irradiation of neglected spinocellular carcinomas of the skin following the synchronizing of partial cell division

The methods of synchronized irradiation as well as the results of the treatment of 20 cases of spinocellular carcinomas have been described. The majority of spinocellular carcinomas were already in the advanced stage. Synchronizing was carried out with a 5-FU in 1000-1000 mg doses twice a week for 12 hour periods in a solution of 1500 ml dissolved in 5 percent dextrose. 8.5 hours after the completion of infusion, irradiation was performed by a Dermopan equipment using 500 R fractions. The total dose reached 4000-5000 R. The conditions of the irradiation were as follows: 50 kV, 25 mA, 5, 10, 15 and 30 cm FB distance. During the treatment the patients were kept under strict clinical control. No toxic side effects were found in the process. It was determined that the patients have tolerated the synchronized ray treatment well. As a direct result of the therapy, 16 out of the 20 spinocellular carcinomas have entirely regressed and four was significantly reduced in size. Patients were kept under a systematic control. Subsequent check-ups revealed only two cases of newly developed tumours. The follow-up control examinations have lasted from six months to four or five years. (author)