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Topics:
Radiation Oncology • Melanoma/Skin Cancer • Medical Oncology • Dermatology • Cutaneous Squamous Cell Carcinoma
How would you approach management of a large, fungating squamous cell carcinoma of the auricle if surgical management is not desired by the patient?
Consider a mass ~3 cm in width with 1 cm thickness located on the helix, with apparent cartilage invasion.
Would you treat with electrons or photons, and is there any role for pre-treatment MRI or elective pre-auricular nodal coverage?
Answer from: Radiation Oncologist at Academic Institution
For a tumor this size and with cartilage invasion, I would recommend starting with induction cemiplimab to best response (generally 4-6 cycles), followed by consolidative RT, generally electrons. Prior to starting the immunotherapy, I would stage the neck with a contrast CT scan, as tumors of this s...
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