How young is too young to treat a child's keloid with radiation?
What dose/fractionation regimen is most appropriate?
-i.e. 12 Gy in 4 fractions, but would you modify that approach in a young patient?
What is the most appropriate age cutoff?
Should it be considered for all patients under age 21?
How many non-irradiative options should have been tried prior to?
If the parents are advocating treatment, should the child’s opinion come into play?
-i.e. Some children may be susceptible to teasing from adverse cosmetic appearances which may drive a desire to try “everything”
Are electrons preferred? What about HDR brachytherapy?
Is the recommendation for RT location dependent?
-i.e. Are there certain locations where radiotherapy should not be considered?
Answer from: Radiation Oncologist at Academic Institution
I think this is a helpful question and I think the following questions appropriately highlight the considerations. We do not routinely see or manage these at our center, so I welcome comments from the invited respondents.This is a controversial area and I think there are certainly exceptions which s...
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