How do you approach the management of basal cell carcinoma with single lymph node involvement?
In patients with no apparent skin involvement but lymph-node showing basal cell carcinoma with extracapsular extension. Would this warrant radiation only or Hedgehog inhibitors could be a potential option?
Answer from: Medical Oncologist at Community Practice
If all the tumor has been resected, I would recommend adjuvant XRT on the nodal basin, depending on the age of the patient. For very old patients or patients with comorbidities, observation might be warranted.
If there is remaining BCC visible on examination or scans, I would treat systemically wit...
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Answer from: Radiation Oncologist at Academic Institution
Very unusual. Bad behavior. Treat like an SCC.
Answer from: Radiation Oncologist at Community Practice
In such an unusual situation, I would certainly advise histologic confirmation prior to treatment.
Comments
Radiation Oncologist at University of Florida
Good point regarding histology. Years ago, some BC...
Good point regarding histology. Years ago, some BC...