Topics:
Radiation Oncology • Melanoma/Skin Cancer
Would you include interconnecting skin in the radiation volume for a patient with lateral forehead squamous cell carcinoma who will receive radiation to the surgical bed and preauricular lymph nodes?
Answer from: Radiation Oncologist at Academic Institution
Yes. It's the interconnecting in-transit lymphatics rather than the skin that is the actual target.
Since these are very superficial, an electron field would do the job.
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Answer from: Radiation Oncologist at Academic Institution
No. Not unless there are dermal mets in which case, you would treat as large a field as possible because dermal mets have no fields. I’ve seen one recurrence above the parotid field and that was in a node just above the field and he has been successfully salvaged.