How would you modify adjuvant radiation for oral cavity SCC based on the presence of sarcomatoid features?

Suggest to discuss the sarcomatoid features with the pathologist. There are two possibilities:

1. Spindle cell carcinoma is a variant of squamous cell carcinoma characterized by spindled or pleomorphic cells that appear to be sarcoma but are actually epithelial. Some of these can be HPV-related and h...

I treat as I would a poorly differentiated SCC.