How would you treat an immunosuppressed patient with high risk cutaneous SCC of the axilla with node positivity on axillary node dissection?
What radiation doses would you use for the scar and axillary nodal regions? Should supraclavicular and/or IMNs be covered?
Answer from: Radiation Oncologist at Academic Institution
I would probably recommend adjuvant radiotherapy to a dose of 56.1-60 Gy in 30 fractions, using integrated boost to regions where the gross nodal disease was prior to surgery. Scar should receive 60 Gy if there was extranodal extension. Elective nodal irradiation of the supraclavicular and internal ...