What radiation dose, fractionation and volume would you use in an elderly patient with localized extensive anorectal malignant melanoma status post laparoscopic APR?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · UCSD Radiation Oncology
Answered on
What a great question! This has come up a couple of times in my clinical practice. For anorectal mucosal melanoma that is completely excised and < 7 mm depth of invasion, I have done surface intra-cavitary brachytherapy with a Capri cylinder.
For deeper lesions or LN involvement, I have used photon...
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