Would you offer adjuvant radiation therapy for high grade T1 nasal vestibule squamous cell carcinoma with negative margin (5mm) but positive focal perineural invasion?
What factors do you consider in offering adjuvant radiation to the primary and/or elective nodes in nasal SCC?
What volumes would you cover?
Answer from: Radiation Oncologist at Academic Institution
Yes to the primary site and neck. I likely would have recommended RT rather than surgery at the outset