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Would you cover elective nodal regions in a patient with high-risk cutaneous SCC of the right medial forehead with clinically negative lymph nodes s/p WLE with graft?   

If so, which nodal regions?

SCC measures 5.5 cm, 2.0 cm thickness, closest margin 0.2 cm (deep), high grade, PNI+, LVSI+. Lymphadenectomy was deferred and no SLNbx was performed. CT/MRI/PET negative for clinically involved nodes.



Answer from: Radiation Oncologist at Community Practice
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Answer from: Radiation Oncologist at Academic Institution
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Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at Phoenix CyberKnife and Radiation Oncology Center
A commercially available, 40 gene expression profi...
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Answer from: Radiation Oncologist at Community Practice
Comments
Radiation Oncologist at Bon Secours Mercy Health
Morbidity might be too high but would depend on th...
Radiation Oncologist at White Plains Hospital
Agree, these are nuanced decisions and depend on t...
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