In what clinical circumstances would you consider re-irradiation for skin cancer?
Would you choose re-treatment with electrons, photons, or brachytherapy?
What dose and fractionation scheme would you employ?
Answer from: Radiation Oncologist at Academic Institution
I consider reirradiation for skin cancer when I know why radiotherapy did not work the first time it was applied. This is usually a total dose, targeting or dosimetry issue (i.e., total dose was too low, target was too small, dose was not delivered to target correctly). Treatment approach depends on...