Do you routinely recommend adjuvant radiation for R1 resected paragangliomas?
Is it reasonable to go with surveillance instead and keep radiation as a salvage option?
Answer from: Radiation Oncologist at Academic Institution
I think it depends on location but in general I do recommend adjuvant radiation for R1 resected paraganglioma. For some patients, I'm comfortable with surveillance with the understanding that radiotherapy can be offered should there be any evidence of progression.