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How would you manage a patient with cutaneous SCC of the lower extremity with isolated inguinal nodal involvement?
What is the role and sequence of surgery and/or RT?
Which nodal levels would you include in your RT field(s)?
Answer from: Radiation Oncologist at Academic Institution
Good timing for this question, since I’m currently treating a similar case of Merkel Cell Carcinoma (MCC) on dorsal skin of wrist with isolated axillary nodal involvement. The same oncologic principles should apply for SqCC as well:
As far as surgery is concerned, wide local excision (WLE) ...
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