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Cutaneous lymphomas are particularly radiosensitive and amenable to palliative radiation therapy. Total skin electron beam therapy (TSEB) is effective for palliation of Sézary syndrome and cutaneous T-cell lymphoma with large body surface area involvement. Focal radiation therapy is often used for treatment of localized disease. Treatment of cutaneous T-cell lymphoma can often pose technical challenges that require creative, patient-specific solutions. The electron beam used in TSEB is superficially penetrating. Although technique-dependent variation exists in the depth of penetration, delivery of an effective dose is generally limited to a depth of less than 1 cm. The inframammary fold of a pendulous breast is generally deeper than 1 cm and therefore will not receive an adequate radiation dose when treated by this technique. The use of a thin brassiere, as suggested in American Association of Physicists Report 23, may overcome this problem in some patients. We report the use of a sling made from nylon stockings to suspend large, pendulous

A method to improve dose uniformity during total skin electron beam therapy in patients with pendulous breasts