What is your preferred dose-fractionation regimen when treating high-risk SCC of the skin in elderly and/or frail patients?

Treatment considerations for patients with cutaneous squamous cell carcinoma are multifaceted and require assessment of patient (age, transportation logistics, desired cosmetic outcomes), disease (size, location), and treatment factors (electron energy, cut-out size, bolus, choice of prescription is...

I've often done 35Gy/5fx for lesions 2cm or less, usually 6MeV prescribed to 90% with 5mm of bolus. I've been very pleased with the cosmetic results and patients appreciate being finished in a week.

Yes - typically though I'm using 6e electrons prescribed to 90% with 5mm bolus. I did notice this regimen is no longer listed in NCCN.