How do you manage SCC metastasis to the parotid with unknown primary?

How would your management change in an elderly patient with no surgery verus superficial parotidectomy or total parotidectomy?

Answer from: Radiation Oncologist at Academic Institution

Guidelines for this situation have been published:https://www.ncbi.nlm.nih.gov/pubmed/22076982After ruling out the possibility of a mucosal primary, in the setting of a presumed occult cutaneous squamous cell carcinoma, I would typically suggest parotidectomy, with regional lymphadenectomy (for pati...

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Radiation Oncologist at Mallory Radiotherapy, PLLC
In the setting where surgery is refused and there ...

Radiation Oncologist at Jacob E Locke MD PA
And for patients with +LVSI and/or +PNI, does this...

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How do you manage SCC metastasis to the parotid with unknown primary?

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