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04/03/2013 20:07
mal7896 
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04/03/2013 20:07
mal7896
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Re: Specialist in Brisbane
terrys:
Interestingly Dr. Green is not in favour of RT for Dups. In her opiniion it "mushes up" the cords/tissue and makes it very difficult to seperate the cords from surrounding tissue shoud the need for the open hand fasciectomy operation be required. Dr. Green sees no issues in RT for Ledderhose as surgery is rarely recommended and hence the need to disect the diseased tissue away from surrounding tissue in negated.
Dr Green told me the same thing a few weeks ago when I saw her. Is this common thoughts amongst other hand surgeons I wonder?
Mal
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04/03/2013 22:39
stephenp 
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04/03/2013 22:39
stephenp
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Re: Specialist in Brisbane
RT was undertaken by David Schlect at Premion Radiology, Wesley, Brisbane. He used the standard protocol of 5x3Gy with a 6 week break and a further 5x3Gy.
Next week I am starting RT on the other hand.
While RT may make follow up surgery more difficult, it is a risk I am prepared to take due to the high recurrence rate following surgery.
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04/04/2013 04:22
stephenp
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04/04/2013 04:22
stephenp
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Re: Specialist in Brisbane
In this abstract
Dupuytren’s Disease and Related Hyperproliferative Disorders
2012, pp 349-371
Long-Term Outcome of Radiotherapy for Early Stage Dupuytren’s Disease: A Phase III Clinical Study
Michael Heinrich Seegenschmiedt, Ludwig Keilholz, Mark Wielpütz, Christine Schubert, Fabian Fehlauer
it is stated that "Salvage surgery was possible without healing problems". No comment in the abstract is made about any complexities. I do not have access to the whole chapter.
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04/04/2013 06:46
Larry 
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04/04/2013 06:46
Larry
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Re: Specialist in Brisbane
stephenp:
In this abstract
Dupuytren’s Disease and Related Hyperproliferative Disorders
2012, pp 349-371
Long-Term Outcome of Radiotherapy for Early Stage Dupuytren’s Disease: A Phase III Clinical Study
Michael Heinrich Seegenschmiedt, Ludwig Keilholz, Mark Wielpütz, Christine Schubert, Fabian Fehlauer
it is stated that "Salvage surgery was possible without healing problems". No comment in the abstract is made about any complexities. I do not have access to the whole chapter.
You or your doctor in Brisbane may write to the first author, Prof. Seegenschmiedt in Hamburg
The abstract source is:
http://link.springer.com/chapter/10.1007...-642-22697-7_44
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