THE indication for type of treatment in cancer of the skin will depend on the following factors: age, life expectancy, location, occupation, invasion of bone and cartilage, previous treatment, nature of the tumor bed and previous trauma and its presence in scars.
Regardless of the type of neoplasm, in very aged persons and others whose life expectancy is short, cure is often sacrificed for palliative effect. Therefore, for many patients for whom surgical excision rather than radiotherapy might be indicated, the latter treatment would be the method used.
Carcinomas of the scalp or the extremities are usually treated better by surgical means. This is especially true for those of the feet and in the pretibial regions. Radiotherapy for young patients should not be used on parts of the body where there will be constant irritation or on exposed parts, such as the face and more especially the ears, which will
HARRIS W. CUTANEOUS CANCER FROM THE POINT OF VIEW OF THE RADIOLOGIST. Arch Derm Syphilol. 1946;53(6):586–587. doi:10.1001/archderm.1946.01510350026005