Please select the option that best describes you:
When do you prefer to use bolus for treating superficial tumors adjacent to or involving the skin surface, especially for complex surface anatomy in the pelvis, head/neck, and extremity regions?
What type of bolus configuration do you favor in these settings?
Examples include bulky cancers involving curved surfaces in challenging head/neck locations (peri-auricular, periorbital, total scalp), pelvic regions (groin, vulva, peri-anal, penile), and extremities (i.e., primary cutaneous diffuse large B-cell lymphoma, leg-type, where the majority of the curved surface of an extremity can exist within the CTV).
Answer from: Radiation Oncologist at Academic Institution
There is not a single answer to this question, as it depends on the specifics of the geometry, treatment technique (photons vs. electrons, beam angles, energy used, etc.), depth and size of the tumor, and other technical factors. Since almost no one has access to superficial or orthovoltage X-rays w...
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