What dose would you use for re-irradiation of metastatic melanoma to an inguinal node?
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2 Answers
Mednet Member
Radiation Oncology · Karmanos Cancer Institute - McLaren Proton Therapy Center
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,...