What is the preferred dose and fractionation regimen for cutaneous squamous cell carcinoma of the thumb?
How would your treatment change for definitive vs post-surgical RT?
Does approach differ depending on the anatomic (distal vs proximal and dorsal vs ventral) location of the lesion?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · UCLA Medical Center
Answered on
No level-1 evidence likely exists for this relatively rare scenario, so common oncologic sense applies here:
- If appendage-conserving wide local excision (WLE) can be offered, do it.
- Post-surgical adjuvant RT is indicated if surgical pathology shows high-risk features for loco-regional recurrence: i...
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Mednet Member
Radiation Oncology · Mountain Radiation Oncology
Answered on
Depending upon the tumor size and local anatomy, hypofractionated (40 Gy in 8 Fxs) electronic brachytherapy could be considered.
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