Topics:
Head and Neck Cancers • Radiation Oncology
How would you treat esthesioneuroblastoma resected with focal microscopically positive margins in difficult to resect skull base regions?
Acknowledging the mixed data, would you feel comfortable that radiation could compensate for the R1 margin? Would you push the surgeons to re-resect?
Answer from: Radiation Oncologist at Community Practice
Yes, it is often difficult to get negative microscopic margins in the anterior skull base in spite of combined ENT and neurosurgery approach. I would be comfortable at this stage to go ahead with adjuvant treatment. The dose of radiation in these situations with microscopic margins would be 70 Gy in...
Sign in or Register to read more
Answer from: Radiation Oncologist at Academic Institution
This is a very difficult area to re-resect. In most cases, this might require a combined ENT- Neurosurgery team approach for surgical resection and getting a final negative pathologic margin without knowing exactly where the microscopic residual cells are is near impossible.
I would just ...
Comments
Radiation Oncologist at University of Michigan
Agree with Dr Siddiqui. If an ENT-neurosurgery bas...
Agree with Dr Siddiqui. If an ENT-neurosurgery bas...