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Radiation Oncology • Melanoma/Skin Cancer
What postop volume would you treat for for cutaneous squamous cell carcinoma of the upper neck with perineural invasion of multiple nerves?
Should nodes always be covered for perineural invasion when that is the only risk factor?
Answer from: Radiation Oncologist at Academic Institution
The answer relies on the caliber of nerves involved. If they are small nerves (<0.1mm), an argument could be made to forgo radiotherapy to the site of the resected tumor altogether. If they are large caliber nerves, or clinically detectable signs or symptoms of dysfunction (so called, perineural ...
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