How would you manage a high risk SCC of the scalp that has wound healing issues after Mohs surgery?

Topics: Radiation Oncology • Melanoma/Skin Cancer • General Radiation Oncology • Dermatology

Would you offer RT? If so, shat dose fractionation do you recommend?

Answer from: Radiation Oncologist at Academic Institution

Refer the patient to plastic surgeon for wound repair. Indicate that the cancer is high risk for recurrence and warrants adjuvant RT (sooner rather than later), and that a vascularized reconstruction is preferable for that reason. In our experience, 60 Gy in 30 fractions is effective to prevent loca...

Comments

Radiation Oncologist at Mountain Radiation Oncology
Which risk factors would warrant adjuvant RT follo...

Radiation Oncologist at Memorial Sloan Kettering Cancer Center
Depth >6mm or desmoplastic features (including ...

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Would you consider any alternative fractionation s...

Radiation Oncologist at Mountain Radiation Oncology
Thank you for the reference. The abstract indicate...

Answer from: Radiation Oncologist at Academic Institution

In our study, the only cases of local recurrences were after doses <60 Gy/30 fractions. We try to give this dose in most cases.

Comments

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
I see the figure in the paper - are those patients...

Radiation Oncologist at Memorial Sloan Kettering Cancer Center
The doses listed are equivalent doses in 2 Gy frac...

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Thank you so much for the responses, very helpful.

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