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Head and Neck Cancers • Radiation Oncology
Do you typically recommend re-resection for secretory carcinoma of the parotid with focal positive margins?
If re-resection would yield negative margins, is observation appropriate? Does the presence of focal PNI push you toward adjuvant RT (without re-resection)?
Answer from: Radiation Oncologist at Community Practice
In my experience, it is always difficult finding the focal margins in question on re-resection in the post-op parotid bed, if not downright impossible. Most of the re-resection margins come back negative in case of focally positive margins. Unless re-resection surgery entails wide local excision tha...
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