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?
Would you always/never include the initial tumor bed?
Is there a time interval or any other factors that would affect your management?
Answer from: Radiation Oncologist at Academic Institution
I agree with Dr. @Christopher A. Barker'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 th...
I would if it was contiguous and easily included w...