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?

Answer from: Radiation Oncologist at Community Practice

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 m...

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Radiation Oncologist at Northeast Georgia Medical Center
Very thoughtful answer.

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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?

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