How do you treat a large basal cell carcinoma involving the dorsum and entire tip of the nose when brachytherapy and orthovoltage are not feasible?
Is there a role for photons over electrons in this case?
Answer from: Radiation Oncologist at Community Practice
Hard to know without seeing, but likely create 3D bolus and treat with electrons.
Can also potentially do IMRT/VMAT with photons, likely more homogeneous dose distribution, but I typically favor electrons just based on comfort.
Answer from: Radiation Oncologist at Community Practice
Surface brachytherapy with a Freiberg Flap or 3D bolus, or orthovoltage, would be the preferred treatment in my opinion, unless the depth of the lesion is greater than 5 mm. For lesions with a depth of greater than 5 mm, interstitial brachytherapy would be a good option. Are these options not feasib...
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Radiation Oncologist at Lake Huron Medical Center Ah, the question heading says brachy and ortho are...
Radiation Oncologist at Comprehensive Hematology Oncology Llc Agreed, brachy is preferred if possible. 3D printe...