What would be your recommended target volume for a high-risk head and neck cutaneous squamous cell carcinoma with microscopic (not clinical) perineural invasion and negative sentinel node biopsy?

Topics: Radiation Oncology

Answer from: Radiation Oncologist at Academic Institution

That is a good question. Our pathologist takes perineural involvement one level further by describing the nerve involvement as either being small or large nerves. If small cutaneous nerves are involved I make certain that my margins are at least 1.5 cm beyond the clinical tumor margin. If a large ne...

Comments

Radiation Oncologist at The Oregon Clinic-Radiation Oncology West
My question was abbreviated by the moderator who o...

Radiation Oncologist at University of Oklahoma College of Medicine
.3 mm nerves are still marginal and I would not th...

Radiation Oncologist at The Oregon Clinic-Radiation Oncology West
Thank you. Sorry I wasn't clear, muscle invasion w...

Radiation Oncologist at University of Michigan
I agree with Dr Bogardus' suggestion to ask the pa...

Radiation Oncologist at The Oregon Clinic-Radiation Oncology West
Thank you for your advice and excellent reference....

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