When treating with adjuvant radiation to the neck after dissection for a nodal recurrence from a nonmelanoma cutaneous malignancy, would you include the primary tumor resection bed in the field if some time has passed since the primary resection?

I'm aware of no great data in keratinocyte carcinoma that is available to help answer this question. A prospective study of patients with cutaneous squamous cell carcinoma found that among patients with high-risk primary tumors, recurrence at the site of margin-negative excision occurred in 25% with...

I agree with Dr. @Dr. First Last's response. I usually tend to include the original site of the primary if the time interval between resection of the primary and RT for nodal recurrence is less than 2 years. Also, I am careful about how extensive my RT field will end up being if I go after the prima...