How would you manage a small recurrent melanoma of the lower eyelid in a patient deemed inoperable?

RT. 70Gy/35 fractions or its equivalent with orthovoltage, which I would prefer.

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...