INTRAOPERATIVE RADIATION-THERAPY AND MOHS MICROGRAPHIC SURGERY ON AN OUTPATIENT BASIS

BACKGROUND. Intraoperative radiation therapy (IORT) is used to deliver therapeutic doses of radiation to a surgically exposed tumor or tumor bed while minimizing the radiation dose to adjacent normal tissue. It is traditionally given with the patient under general anesthesia. OBJ ECTIVE. TO report a case of a recurrent squamous cell carcinoma noma t reated with Mohs micrographic surgery and IORT on an outpatient basis. METHODS. Mohs surgery was used to clear the tumor in all fields excep t for the area of the spinal accessory nerve, which was preserved. IOR T was then delivered to the area of nerve with possible residual tumor . RESULTS. The patient remains clinically tumor free 42 months posttre atment. There were no complications. CONCLUSION. Intraoperative radiat ion therapy can be effectively used in the outpatient setting as an ad junctive therapy after Mohs micrographic surgery.