PMID- 38018208 OWN - NLM STAT- Publisher LR - 20231129 IS - 1874-4729 (Electronic) IS - 1874-4710 (Linking) DP - 2023 Nov 24 TI - Personalized 125I Seed Interstitial Brachytherapy for Patients Aged 80 Years and Over with Early Primary High-risk Non-melanoma Skin Cancer. LID - 10.2174/0118744710240256231103095018 [doi] AB - OBJECTIVE: The aim of this study is to explore the safety and efficacy of iodine-125 seeds interstitial brachytherapy (PISI-BT) for patients aged 80 and above with early primary high-risk non-melanoma skin cancer (NMSC). METHODS: In this retrospective single-center study, we collected and analyzed data from patients >/= 80 years of age with early primary high-risk NMSC treated with PISI-BT between December 2003 and May 2020. Survival status, efficacy, adverse effects (AEs), cosmetic outcomes, and treatment cost were analyzed (data cut-off: November 20th, 2021). RESULTS: Only 9 patients met the inclusion criteria (median age, 86 years (81-90)). Five patients had an Eastern Cooperative Oncology Group (ECOG) score of 1, and allthe patients had at least one comorbidity. Six patients showed complete responseand three showed partial response, while none had stable or progressive disease. No recurrences, disease persistence, or AEs were detected during the follow-up period. After a median follow-up of 29.3 months (3-99), only two patients were alive, but the cause of death in the remaining patients was not related to NMSC. The cosmetic outcomes were excellent and good in two and four patients, respectively, while they could not be evaluated in three patients. The cost (which was within the scope of medical insurance reimbursement) was acceptable. CONCLUSION: PISI-BT could be an alternative treatment option in patients above 80 years old with early primary high-risk NMSC and comorbidities. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Yansong, Liang AU - Yansong L AUID- ORCID: 0000-0003-4212-1495 AD - Department of Oncology, The Hebei General Hospital, Peace WestRoad348, 050051 Shijiazhuang, Hebei Province, China. FAU - Juan, Wang AU - Juan W AD - Department of Oncology, The Hebei General Hospital, Peace WestRoad348, 050051 Shijiazhuang, Hebei Province, China. FAU - Hongtao, Zhang AU - Hongtao Z AD - Department of Oncology, The Hebei General Hospital, Peace WestRoad348, 050051 Shijiazhuang, Hebei Province, China. FAU - Zezhou, Liu AU - Zezhou L AD - Department of Oncology, The Hebei General Hospital, Peace WestRoad348, 050051 Shijiazhuang, Hebei Province, China. FAU - Xiaohua, Su AU - Xiaohua S AD - Department of Oncology, The Hebei General Hospital, Peace WestRoad348, 050051 Shijiazhuang, Hebei Province, China. FAU - Huanfen, Zhao AU - Huanfen Z AD - Department of Pathology, The Hebei General Hospital, Peace West Road 348, 050051 Shijiazhuang, Hebei Province, China. FAU - Rongmei, Zhao AU - Rongmei Z AD - Department of Interventional Ultrasound, The Hebei General Hospital, Peace WestRoad 348, 050051 Shijiazhuang, Hebei Province, China. FAU - Jianqi, Yin AU - Jianqi Y AD - Department of Dermatology, The Hebei General Hospital, Peace West Road348, 050051 Shijiazhuang, Hebei Province, China. LA - eng PT - Journal Article DEP - 20231124 PL - United Arab Emirates TA - Curr Radiopharm JT - Current radiopharmaceuticals JID - 101468718 SB - IM OTO - NOTNLM OT - Interstitial brachytherapy OT - elderly. OT - high-risk OT - iodine seeds OT - non-melanoma skin cancer EDAT- 2023/11/29 06:42 MHDA- 2023/11/29 06:42 CRDT- 2023/11/29 03:44 PHST- 2022/12/25 00:00 [received] PHST- 2023/08/30 00:00 [revised] PHST- 2023/10/19 00:00 [accepted] PHST- 2023/11/29 06:42 [medline] PHST- 2023/11/29 06:42 [pubmed] PHST- 2023/11/29 03:44 [entrez] AID - CRP-EPUB-136299 [pii] AID - 10.2174/0118744710240256231103095018 [doi] PST - aheadofprint SO - Curr Radiopharm. 2023 Nov 24. doi: 10.2174/0118744710240256231103095018.