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How would you approach the treatment of a low grade adnexal carcinoma of the scalp in a patient with prior history of WBRT as a child?
This particular case involves a patient with a frontal scalp low grade eccrine carcinoma status-post excision with positive margin complicated by post-resection ICU hospitalization with no plan for re-excision nor biopsy of a second similar lesion on the posterior scalp. How would you proceed? Is there a role for hypofractionation?
Answer from: Radiation Oncologist at Academic Institution
Post-op RT and RT alone for the second one, if surgery is not an option. No hypofractionation.
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