ENS 51251

v t e ENS Event
04:00 Jul 17, 2015
Title	Agreement State Report - Medical Overdose for Skin Cancer
Event Description	The following report was received via e-mail: 1. A patient received an [Ir-192] HDR treatment using a skin applicator on the nose. This treatment is used to treat skin cancer. 2. The physician's written directive specified a dose to the tumor volume, and a maximum tumor dose of 130 percent of the prescribed dose. The total dose was delivered in 8 fractions. 3. The patient's course of treatment proceeded to conclusion. On recent follow-up exam, the patient's skin reaction was more than usual for this type of treatment, so the physician asked physics to review the plan. 4. This review indicated the tumor volume maximum dose exceeded the prescribed 130 percent by more than 50 percent. The date, time, and dose prescribed/received were not given in the report. A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

ENS 51251 +/-
Where
Radiotherapy Clinics Of Georgia Lawrenceville, Georgia (NRC Region 1)
Organization:	Georgia Radioactive Material Pgm
Reporting

Agreement State
Time - Person (Reporting Time:+131.33 h5.472 days <br />0.782 weeks <br />0.18 months <br />)
Opened:	Travis Cartoski 15:20 Jul 22, 2015
NRC Officer:	Mark Abramovitz
Last Updated:	Jul 22, 2015
51251 - NRC Website
v • d • e

v t e Emergency Notification System
Radiotherapy Clinics Of Georgia with Agreement State
WEEKMONTHYEAR2015-07-17T04:00:00 [Table view]
[ENS list for Radiotherapy Clinics Of Georgia]

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