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In patients with skin squamous cell carcinoma invading the skull, what dose do you limit the brain when treating definitively with radiation?

2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Vanderbilt-Ingram Cancer Center
Answered on

Brain (excluding optic structures and brain stem) can handle all sorts of doses to limited volumes.

I would just try to avoid dumping hotspots < 105-110% of your Rx dose into the brain and try to minimize the Rx dose, which will be dependent on anatomy and the extent of abutment/overlap of PTV with ...

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Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · University of Iowa
Answered on

I use 1.2 Gy/fx BID to 72 Gy to treat the gross disease invasion/perineural gross disease. That translates to a dose to the adjacent brain of EQD2 of 67.2 Gy for alpha/beta = 10 and 60.48 Gy for alpha/beta = 3.

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