What dose-fractionation do you use for recurrent SCC (face) that was previously multiply resected and radiated, but has a persistently positive margin after re-resection?

Topics: Radiation Oncology • Melanoma/Skin Cancer

Especially in the setting of prior “standard” adjuvant dose and refusal of the patient to undergo more extensive surgery. Do you recommend ENI in the recurrent setting?

Answer from: Radiation Oncologist at Academic Institution

Either 64 Gy at 2 Gy per QD fraction or 64.8 Gy at 1.2 Gy bid. I would electively treat treat the nodes if not previously irradiated. If nodes were previously irradiated, I would not.

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