How would you approach local recurrence of scalp angiosarcoma during the course of adjuvant radiotherapy after a widely R0 resection?

Recurrence is in the radiation field right at the border of graft and scalp, and started to surface at about 20-24 Gy. It is visibly enlarging over several days.

1 Answer

Mednet Member

Radiation Oncology · Rush University Medical Center

Answered on

I've had similar. I had to cover the entire scalp using tomotherapy as tumor progressed when I wasn't looking. We treated with concurrent taxanes as there was a suggestion in the literature to do this and had a reasonable response. Suggest you resimulate and patch treatment fields.

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