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Radiotherapy skin markings

Radiotherapy skin markings help make sure external radiotherapy treatment is delivered in exactly the right place.

Tattoo marks

During your radiotherapy planning session, the radiographer might make between 1 to 5 permanent pin point tattoo marks on your skin. For some types of radiotherapy, for example electron treatments, you won't have tattoo marks. 

The radiographer uses the tattoos to line up the radiotherapy machine for each treatment. This makes sure that you have exactly the same area treated each time.

Radiotherapy tattoo marks
Radiotherapy skin marks

Ink markings

Your radiographers might also draw marks around the tattoos with permanent ink pen. This highlights the tattoos in a dark room and makes them look like small crosses. Don't try to wash them off.

The pen marks will start to rub off in time. They can rub off on your clothes or when you wash. If that happens, tell your radiographer, they can redraw them the next time you have treatment. 

It can help to wear older clothes next to your skin during your treatment.

Last reviewed: 
21 Dec 2018
  • External Beam Therapy (2nd edition) 
    Peter Hoskin
    Oxford University Press, 2012

  • Devita, Hellman and Rosenberg's Cancer Principles and Practice of Oncology (10th edition)
    VT Devita, TS Lawrence and SA Rosenberg
    Wolters Kluwer Health, 2015. 

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