The radiation therapist's primary concern is the treatment of patients with malignant dis ease. However, there are definite indications for radiation treatment for benign diseases that do not respond to conventional methods of treatment. It may be the treatment of choice in the unusual instance of a life-threatening benign disease that cannot be surgi cally or medically managed. The present volume by Order and Donaldson represents a major statement on the uti lization of radiation techniques in the management of benign disease. The initial report of the Committee on Radiation Treatment of Benign Disease from the Bureau of Radiological Health recommended that consideration be given to the quality of radiation, the total dose, overall time, underlying organs at risk and shielding factors before the institution of radiation therapy. Infants and children should be treated with ionizing radiation only in very exceptional cases and after careful evaluation of the potential risk compared with the expected benefit. Direct irradiation of the skin areas overlying organs that are particularly prone to late effects such as the thyroid, eye, go nads, bone marrow, and breast should be avoided. Meticulous radiation protection tech niques should be used in all instances and the depth of penetration of the x-ray beam should be chosen in accordance with depth of the pathologic process'.
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This volume, which expands and updates the first edition, is designed as a practical text to aid the radiation oncologist in the evaluation and treatment of benign diseases. An introductory chapter by an eminent malpractice lawyer clarifies the medical-legal implications of the radiation treatment of such diseases. Thereafter the various benign conditions are considered in alphabetical order; in each case a brief résumé is followed by citations of pertinent literature in both explanatory tables and reference lists. A special feature is the survey of current radiation practice in the United States. This complete update will be recognized as the standard text on radiation therapy for benign diseases.
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