How would you manage a small recurrent melanoma of the lower eyelid in a patient deemed inoperable?
Would you recommend radiation therapy or immunotherapy? If proceeding with radiation therapy, what dose-fractionation and technique would you utilize?
Answer from: Radiation Oncologist at Academic Institution
RT. 70Gy/35 fractions or its equivalent with orthovoltage, which I would prefer.
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Answer from: Radiation Oncologist at Academic Institution
To treat this patient with potentially curative intent, I would prefer a high dose, 45- 48 Gy in 15-16 fractions, depending on the thickness of the original lesion. An ocular shield is mandatory, to decrease corneal/ retinal toxicity. The patient could be treated with low kV orthovoltage (120-150 kV...