How would you set up and treat a mycoses fungoides patient with symptomatic bilateral inner thigh, groin, and scrotal plaques?   

The upper inner thighs, inguinal skin folds, gluteal cleft, and much of the genitalia are typically under-dosed during a course of total skin electron beam therapy. If there is gross disease in these areas, a localized RT "boost" is generally necessary. Unfortunately, these areas are some of the mor...