Melanoma Primary Flashcards
1
Q
Work Up
A
“SLN bx for depth >1-4 mm (optional for 0.8-1 mm). If positive may do lymph node dissection, but no benefit with dissection on MSLT-II. Always do dissection for gross nodes
CT/PET for Stage III and above (e.g. SLN+) or for specific signs and symptoms”
2
Q
Treatment
A
“48 Gy/20 fx (TROG)
30 Gy/5 fx (MDACC) - ““cold”” plan with 90% coverage
Caution using <2.5 Gy per fraction: major clinical trials used at least 2.5 Gy per fraction. However there is no difference between 2.5 and 8 Gy per fraction, so 2 Gy could be acceptable. “
