What treatment would you recommend for a 3 cm basal cell carcinoma of the perianal skin with anal canal involvement?
The patient has no evidence of lymph node involvement.
Answer from: Radiation Oncologist at Community Practice
I would confirm with adequate bx that it is not basosquamoid as then management would be chemo RT like anal cancer
If indeed it is rare basal call ca and since Anal canal is involved I would treat with RT alone with conventional fractionation to close to 60 Gy like skin cancer