How do you approach the management of basal cell carcinoma with single lymph node involvement?
In patients with no apparent skin involvement but lymph-node showing basal cell carcinoma with extracapsular extension. Would this warrant radiation only or Hedgehog inhibitors could be a potential option?
3 Answers
Mednet MemberInvited Expert
Medical Oncology · The Ohio State University Comprehensive Cancer Center
Answered on
If all the tumor has been resected, I would recommend adjuvant XRT on the nodal basin, depending on the age of the patient. For very old patients or patients with comorbidities, observation might be warranted.
If there is remaining BCC visible on examination or scans, I would treat systemically with...
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Radiation Oncology · University of Florida
Answered on
Very unusual. Bad behavior. Treat like an SCC.
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Radiation Oncology · Mountain Radiation Oncology
Answered on
In such an unusual situation, I would certainly advise histologic confirmation prior to treatment.
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