New: NCI-funded clinical trial search
Mednet Logo
CommunityOphthalmology

In an elderly patient with limited transportation issues, is there a hypofractionated regimen you have found acceptable for a localized squamous cell carcinomas of the eyelid?

Assuming electrons, use of eye-shield, surface collimation, what dose would you use to balance control and toxicity?
Community PollStarted

What is your go-to hypofractionated regimen for definitive management of SqCC in cosmetically sensitive areas?

471 physicians have voted

Join Mednetto vote and see how they answered.

2 Answers
Mednet MemberInvited Expert
Radiation Oncology · University of Texas MD Anderson Cancer Center
Answered on

I am fortunate to work with a “XRT for skin cancer” guru, Dr. W.H. Morrison, and sought his counsel to answer this question, as largely with the conversion of skin cancers from a radiation-treatable disease to a surgical disease with the advances in Mohs surgery and oculoplastics, at MDA we rarely see “routine” eyelid cancers. For details of radiation for skin cancer, I refer you to this excellent treatise that Dr. Morrison wrote (with little assistance from yours truly) (Morrison et al., PMID 9...

Join for free or sign in to see the full answer

Mednet MemberInvited Expert
Radiation Oncology · University of Texas Medical Branch
Answered on

Assuming curative intent, treatment 55 Gy in 20 fx should do the job.

Join for free or sign in to see the full answer