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Topics:
Radiation Oncology • Melanoma/Skin Cancer
What is the significance of PNI in cutaneous BCC?
What level of PNI is considered "large nerve" in this disease?
Answer from: Radiation Oncologist at Academic Institution
Not as bad as SCC. They rarely present with symptoms. That said, if it’s near a major CN, 5 or 7, add portRT.
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Answer from: Radiation Oncologist at Academic Institution
Little data out there (unlike PNI in SCCa); if the surgical margin is adequate and a local recurrence for re-excision would be devastating, I'd observe. If a local recurrence would result in a very poor cosmetic outcome after re-excision, I'd offer RT (50 Gy involved site).