Do you recommend elective lymph node irradiation for a basal cell carcinoma of the skin that is deeply invading muscle?  

For example, would you recommend treatment of the cervical and posterior occipital lymphatics for a 4 cm lesion deeply invading the posterior ridge of the trapezius with positive margins in a patient with a history of radiation therapy for acne as a teenager (approximately 50 years ago).



Answer from: Radiation Oncologist at Academic Institution