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Topics:
Head and Neck Cancers • Radiation Oncology
What are the indications for adjuvant radiation for a resected acinic carcinoma of the parotid?
Is close margins <=1mm alone enough to warrant adjuvant radiation?
What about other factors such as p-Staging, PNI, LVI etc.?
Answer from: Radiation Oncologist at Academic Institution
Although considered low risk, acinic cell carcinoma may be unpredictable. I would add postop RT for very close margins. PNI would depend on extent of nerve involvement. I would if it was extensive. I would not for LVSI. I would in the unlikely event of positive nodes.
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