Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a new, enlarging mass in a previously irradiated field. History significant for primary malignancy treated with radiotherapy [Number] years ago. Patient reports [pain/functional impairment/skin changes] at the site. No history of trauma. Symptoms are progressive, with no systemic B-symptoms currently noted.
Clinical Examination Findings
Physical exam reveals a firm, fixed, non-tender mass located within the prior radiation port. Overlying skin shows signs of chronic radiation dermatitis (atrophy, telangiectasia, pigmentation changes). Mass dimensions: [Length] x [Width] cm. No palpable regional lymphadenopathy. Neurovascular status distal to the mass is intact.
Treatment Protocol
Plan includes urgent biopsy (core needle or excisional) for histopathological confirmation. Staging via MRI of the affected area and CT chest/abdomen/pelvis to rule out metastatic disease. Multidisciplinary tumor board review pending. Surgical resection with wide margins is the primary therapeutic goal, potentially followed by adjuvant chemotherapy or re-irradiation depending on pathology and surgical margins.