Please select the option that best describes you:
For a patient treated with Mohs surgery for a high risk skin cancer of the head/neck do you post-operatively treat all scars to full dose, including those created at subsequent closure?
I have seen some patients who may undergo large complex closures (sometimes as a separate procedure) for smaller lesions with resulting scars that significantly increase the target volume. Would you treat these secondary scars to lower (or zero) dose?
Answer from: Radiation Oncologist at Academic Institution
There are a few high quality studies of adjuvant radiotherapy to the site of a primary skin cancer that help guide the answer to your question that I am aware of.
Based on first principles, it would seem like the area that the tumor originated, as well as the surrounding area at risk for subclinica...
Sign in or Register to read more
Answer from: Radiation Oncologist at Community Practice
The tumor bed and the surgical approach to achieve tumor resection (op note) guide my target volume - leaving aside any elective volumes that may need attention e.g., nodal cover or nerve pathways cover that am not going to discuss here. If there were additional incisions and/or reconstructive proce...
Answer from: Radiation Oncologist at Academic Institution
I do not irradiate secondary incisions.