When would you offer post-op radiation for the treatment of sebaceous carcinoma of the eyelid?

I think of them as poorly differentiated and it’s a location where margins are likely close so always.

This is a rare cancer with limited data available to guide management and answer this question. A recent guideline was published on this condition, and adjuvant radiotherapy was described as something to consider for patients with positive margins, perineural invasion, or recurrence after prior exci...