How would you manage BCC to the left cheek after only half of a radiation course was completed three months ago and non-operative management is preferred?
Consider a scenario where Mohs had initially been declined by the patient, and the radiation course (received 8 of 20 fractions) was held for three months due to a medical emergency.
Would you consider radiation to complete treatments after such a long break, and if so, what dose/fractionation? Or encourage the patient to undergo Mohs surgery?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · University of Texas at Tyler
Answered on
An assessment of three domains is going to help the patient and physicians in this case:
- Patient related factors: A medical emergency that lasts three months implies a lot-- so what is the performance status of the patient now and what is the prognosis; because an ECOG 3-4+ patient with new onset mu...
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