In a male patient with a single inguinal node containing SCC, with no identifiable anal or penile lesions, what areas would you cover and to what dose?
Would you treat the node alone, unilateral/bilateral inguinal nodal basins, or cover any possible primary locations such as the anal mucosa?
Answer from: Radiation Oncologist at Academic Institution
This is a very interesting case.If one can draw some analogy, then this is similar to head and neck sqcc met to neck node with unknown primary site(s). The debate has been to treat only the neck vs tx neck + âpotential primary sitesâ. To minimize morbidity, I try ...