Radiotherapy of skin cancers

Abstract

Many histological types of skin cancers may be treated with radiation. In most cases, there are no randomised trials enabling to well define the place of radiotherapy nor the best dose-fractionation schedules. Radiation indications are based at best on large retrospective series and sometimes only on expert opinions. After reviewing the different irradiation techniques available, we will discuss the indications and techniques for irradiation for each skin disease. We will only discuss localised tumours. Considering their wide histological heterogeneity and clinical presentation, a discussion with a multidisciplinary team is absolutely necessary for difficult cases, with at least photographs of the lesion, or even with the presence of the patient who can be examined by the different players in the multidisciplinary team.