Topics:
Head and Neck Cancers • Radiation Oncology
Would you offer adjuvant radiation to a low grade myoepithelial carcinoma of the soft palate with positive margins and no other aggressive features?
Answer from: Radiation Oncologist at Academic Institution
This situation is relatively more common when the surgical procedure was an excision biopsy for diagnosis rather than a planned oncological resection.
The usual first Q in this scenario is whether the surgeon could go back and perform a wider excision without compromising function.
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Answer from: Radiation Oncologist at Academic Institution
Yes.
Answer from: Radiation Oncologist at Academic Institution
I would treat if margins were positive.