Would you give adjuvant radiation after complete resection of a small primary cutaneous follicular lymphoma of the scalp?

Not a lot of data, but here goes. First, one has to go back decades in the literature to find series of patients with lymphoma rx'd with surgical resection alone. In general addition of RT improved outcome even when ostensibly resected with neg margins. With today's technology risk of additional RT ...

To offer an in-between option...I have seen small primary cutaneous lymphomas before that were essentially resected by the biopsy procedure. I have typically treated these with 4 Gy in 2 fractions. As Dr. @Dr. First Last noted above, I agree that among all-comers, you get about 70% local control wit...

Since this was a complete resection, radiation therapy is not necessary according to the EORTC guidelines.

Senff et al., PMID 18567836