For clinically node negative large squamous cell carcinomas of the scalp vertex, would you electively treat the nodes?

In most situations, no.

I might consider it for a patient coming in for adjuvant radiotherapy to the primary site, if I do not anticipate that the patient would be able to undergo a salvage therapeutic lymphadenectomy over the next 3-4 years because of medical comorbidity. The rationale is that ele...