What is your approach to postoperative radiation therapy in a patient with INTERMEDIATE grade early stage (I/II) mucoepidermoid carcinoma of the parotid and no other risk features?

Would you always radiate? If not, when do you feel comfortable with observation after surgery?

Answer from: Radiation Oncologist at Academic Institution

Treat like a low grade. There are clear data on this point. Negative margins, follow even if close.