As the metastatic presentation of this disease can be myriad the treatment should be individualised to suit the patient and the treatment regimen should be discussed with the consultant. Treatment intent is palliative. Some commonly used schedules for cutaneous disease include the following:

Dose

  • 30 to 36 Gy, 6 Gy per # once weekly over 5 to 6 weeks.
  • 20 Gy in 5# over 1 week.
  • 30 Gy in 5#, 2# given each week.
  • 8 to 10 Gy in 1# especially in poor performance status patients where rapid control of symptoms such as bleeding is required.
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