How would you treat a sebaceous carcinoma of the orbit definitively with radiation, if they refuse exenteration?
Does your recommendation change if the patient is elderly?
Dose/fractionation/volume?
Systemic therapy?
Answer from: Radiation Oncologist at Academic Institution
I would stress that RT would destroy the eye. 70 Gy at 2 Gy per once daily fraction and electively irradiate the regional nodes. Would prefer SIB. No chemo.