Would you offer adjuvant radiotherapy to an elderly patient with T4 SCC of the scalp and positive margins 6 months after Mohs surgery?

I would most certainly offer RT in the presence of a non-healing wound.

A wound that has not healed in 6 months is almost never going to heal by itself.

First up with a non-healing wound, one must suspect a recurrence – even in absence of confirmed biopsy.

There are so many instances I have seen peo...