Try to keep up!
60 year old guy presents with large (>5cm) right forehead SCC >1cm from midline. Preoperative imaging shows a LEFT level 1 cystic mass ddx not given in report. Of note, also has biopsy proven basal cell carcinoma of left nares AND right mid-neck BCC. Undergoes:
1. Excision R forehead SCC.
2. R Neck dissection
3. Excision of Left nares and R neck BCC
4. Excision of left neck level 1 mass.
Final path:
Forehead lesion: 5cm SCC, margins negative.
R neck dissection: 38 nodes negative.
Left Nares: BCC with PNI
Right Neck: BCC.
L level 1: Basaloid SCC in a lymph node measuring 3.5 cm, not consistent with any of the above primary sites. (Path already reviewed by outside academic center and agree). Of note, had pan endo and PET prior to any surg and no obvious oral cavity lesion.
What would you radiate???
60 year old guy presents with large (>5cm) right forehead SCC >1cm from midline. Preoperative imaging shows a LEFT level 1 cystic mass ddx not given in report. Of note, also has biopsy proven basal cell carcinoma of left nares AND right mid-neck BCC. Undergoes:
1. Excision R forehead SCC.
2. R Neck dissection
3. Excision of Left nares and R neck BCC
4. Excision of left neck level 1 mass.
Final path:
Forehead lesion: 5cm SCC, margins negative.
R neck dissection: 38 nodes negative.
Left Nares: BCC with PNI
Right Neck: BCC.
L level 1: Basaloid SCC in a lymph node measuring 3.5 cm, not consistent with any of the above primary sites. (Path already reviewed by outside academic center and agree). Of note, had pan endo and PET prior to any surg and no obvious oral cavity lesion.
What would you radiate???