How do you manage SCC metastasis to the parotid with unknown primary?

Topics: Radiation Oncology • Melanoma/Skin Cancer

How would your management change in an elderly patient with no surgery verus superficial parotidectomy or total parotidectomy?

Answer from: Radiation Oncologist at Academic Institution

Guidelines for this situation have been published:https://www.ncbi.nlm.nih.gov/pubmed/22076982After ruling out the possibility of a mucosal primary, in the setting of a presumed occult cutaneous squamous cell carcinoma, I would typically suggest parotidectomy, with regional lymphadenectomy (for pati...

Comments

Radiation Oncologist at Mallory Radiotherapy, PLLC
In the setting where surgery is refused and there ...

Radiation Oncologist at Jacob E Locke MD PA
And for patients with +LVSI and/or +PNI, does this...

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