Would you offer adjuvant radiotherapy to an elderly patient with T4 SCC of the scalp and positive margins 6 months after Mohs surgery?
Would you offer RT if there was bone invasion? If there was poor wound healing causing a 6 months delay, would you still offer RT?
Answer from: Radiation Oncologist at Community Practice
I would most certainly offer RT in the presence of a non-healing wound.
A wound that has not healed in 6 months is almost never going to heal by itself.
First up with a non-healing wound, one must suspect a recurrence – even in absence of confirmed biopsy.
There are so many instances I have...