How would you treat an SCC of the helix of the ear with posterior auricular nerve involvement s/p surgical resection?

If there are no pre-op photos, what would your fields look like and dose/fractionation?

Answer from: Radiation Oncologist at Academic Institution

MR to look for PNI. Likely negative if asymptomatic. CT to look for nodes. Postop RT depends on symptoms and MR and CT findings. If N0, electively treat nodes.

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Radiation Oncologist at UTMB
The MR needs to be a fine cut - variously called c...

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How would you treat an SCC of the helix of the ear with posterior auricular nerve involvement s/p surgical resection?

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