How would you manage a nodal recurrence of cutaneous SCC if the patient is unable to receive surgery for 6-8 weeks?

I’d first consider referring the patient to a center that could perform the operation, as it is standard of care for a patient with resectable cSCC with nodal metastases.

At some centers, there may be a clinical trial of neoadjuvant immunotherapy that could be considered.

If those options were not...