variant squam with in-transit mets going up the arm

kinda miserable situation for a guy with a bunch of in transit cutaneous mets more or less encompassing the forearm, which are bleeding, etc. Has to wear a whole arm bandage and is beginning to lose function. It's a variant squam and he's a txp patient with no io options who can't tolerate chemo. Got post-op rt to a portion of this area 3 years ago. Wondering what the craziest fields folks have done for situations like these. Whole forearm ap/pa? Arcs/imrt to just the superficial... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums