What is your approach to treating inoperable mucosal melanoma of the head and neck region?

What is the preferred dose, fractionation, and role of concurrent chemo?

Answer from: Radiation Oncologist at Academic Institution

It is often nasal cavity/paranasal sinuses, so 1.2 Gy BID to 74.4 Gy and electively treat the neck. Otherwise 70 Gy/35 fx/30 treatment days SIB.

Comments

Radiation Oncologist at The Toledo Clinic
Do you treat only the ipsilateral neck?

Radiation Oncologist at University of Florida
I would treat the ipsilateral neck electively.

Radiation Oncologist at The Toledo Clinic
Thank you.

Radiation Oncologist at Providence St. Mary Medical Center
Role for immunotherapy? Neoadj or Adj?