At the last SCARS Tumor Conference, we presented a 66 year old “Perfect Storm” patient with scalp lesions. He exhibited three critical characteristics: 1. extensive scarring by multiple dermatologic procedures required for the many skin cancers of his scalp – field cancerization effect 2. tissue hypoperfusion (smoker, peripheral vascular disease) 3. medical co-morbidities (CAD, advanced … Continue reading Scalp Radiation for High Risk Skin Cancer – The Perils and the Perfect Storm