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Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 134-136

Unprecedented remission with radiotherapy alone: A rare case of mutilating scalp recurrence of Hodgkin's lymphoma with preexisting chronic liver disease

1 Department of Radiotherapy, IPGMER and SSKM Hospital, Kolkata, West Bengal, India
2 Department of Radiotherapy, BSMCH, Bankura, West Bengal, India
3 Department of Radiation Oncology, RCC, JIPMER, Puducherry, India

Correspondence Address:
Koushik Chatterjee
Department of Radiotherapy, IPGMER and SSKM Hospital, 244 AJC Bose Road, Kolkata - 700 020, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ccij.ccij_25_17

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Recurrence of Hodgkin's lymphoma in the scalp is extremely rare (only one such case reported, way back in 1970) and its treatment in the setting of chronic liver disease is unknown. We hereby report the second case of recurrent Hodgkin's lymphoma of the scalp, in a 28-year-old male, presenting as a mutilating ulcer over the entire right hemicranium with autoamputation of the right pinna. He was unfit for chemotherapy in view of his preexisting chronic liver disease and was therefore treated with radiotherapy alone, to the dose of 40 Gy in 20 fractions over 4 weeks in conventional fractionation, using Tele-Cobalt 60, leading to complete and sustained remission (at 5 years follow up) and unprecedented organogenesis of the scalp and the pinna.

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