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Not sure why I cant get a straight forward case these days but heres another one. This is a 93 year old guy (pleasantly demented) that presented with at 2.5 cm cystic looking lesion and his PCP sent him to plastic surgery who decided to resect it and put a flap in afterwards. Deep margin is positive and all other margins are very close like 1mm. He delayed coming in for adjuvant RT for a while and now presents 1 month post surgery. His picture is below. I think there is recurrent tumor possible in 2 discontiguous spots, new areas his daughter who takes care of him did not see previously. What would you do now? Thought I should send him to derm to verify if there is recurrence. The primary was in the location of the medial arrow. If they are both tumor how would you proceed? Plastics got not imaging beforehand
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