What is your approach to elective radiation of the neck with primary cutaneous squamous cell carcinoma?
When do you electively treat the ipsilateral versus ipsi- and contralateral neck?
Answer from: Radiation Oncologist at Community Practice
The ASTRO Clinical Practice Guidelines for treatment of BCC and cSCC (Likhacheva et al., PMID 31831330) provides specific guidelines for elective treatment of draining lymphatics. A thorough review of the literature revealed that the most important predictive factor for occult lymphatic spread is tu...