What is the significance of PNI in cutaneous BCC?

Little data out there (unlike PNI in SCCa); if the surgical margin is adequate and a local recurrence for re-excision would be devastating, I'd observe. If a local recurrence would result in a very poor cosmetic outcome after re-excision, I'd offer RT (50 Gy involved site).

Not as bad as SCC. They rarely present with symptoms. That said, if it’s near a major CN, 5 or 7, add portRT.