What dose would you use for re-irradiation of metastatic melanoma to an inguinal node?
If the inguinal node was previously treated with SBRT 30Gy/5fx and immunotherapy >6 months, what treatment would you recommend?
2 Answers
Mednet Member
Radiation Oncology · Karmanos Cancer Institute - McLaren Proton Therapy Center
Answered on
For melanoma, I have used 27 Gy in 3 fractions of 9 Gy, one week apart, for an unresectable tumor near the eye in an elderly patient. The patient was on concurrent nivolumab and remains NED 3 yrs out.
I think that the inguinal area could tolerate this dose if it has been 6 months since prior course,...
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Mednet MemberInvited Expert
Radiation Oncology · University of Florida
Answered on
It depends on prior RT.
Previously unirradiated 30 Gy/ 5 fractions/2.5 weeks.
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