Would you consider adjuvant radiation for a patient with recurrent pelvic node melanoma s/p immunotherapy and pelvic lymph node dissection with complete pathological response (only necrotic tissue; no viable melanoma)?

Answer from: Radiation Oncologist at Academic Institution

At this point, no. These patients seem to have a low risk of recurrence if they experience pathologic complete response following neoadjuvant immunotherapy.

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Would you consider adjuvant radiation for a patient with recurrent pelvic node melanoma s/p immunotherapy and pelvic lymph node dissection with complete pathological response (only necrotic tissue; no viable melanoma)?

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