EDISCIENCES

ABSTRACT

Introduction
Non-melanoma skin cancer accounts for about 95% of all skin cancers. Their incidence is constantly increasing. Although rarely metastatic, they are characterized by a signi cant local aggressiveness. Surgery and radiotherapy are the most effective treatments. Radical radiotherapy is usually performed for facial locations, in older patients or un t for surgery.

Material and methods
We report the case of a 92-year-old patient with diagnosis of "multiple spinocellular carcinoma of the skin". Lesions were at the vertex (scalp) and face (right cheek). The diagnostic pathway is marked by specialist examinations of dermatology, blood samples, cutaneous swabs (mycological and bacteriological), cutaneous biopsy and brain and neck CT. In November 2016, patient makes medical examination with radiation oncologist. The most noticeable feature of the vertebral injury was bleeding, that of the face was the loss of substance.

Results
It is proposed a hypo-fractionated radiotherapy scheme, based on performance status, age and clinical presentation of the disease. In both sites, were administered 36 Gy in 6 weekly fractions (electrons 15 MeV). Treatment was completed as scheduled, with remarkable hemostatic and cytoreductive effects, already evident during treatment. Six months after treatment, there is good local control with dimensional reduction of lesions and loss of substance.

Conclusions
Hypofractionated radiotherapy is an effective option for treatment of cutaneous tumors. Due to low toxicity and excellent results obtained in terms of local control, it can be safely administered in elderly patients.