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Melanoma/Skin Cancer • Medical Oncology
How do you approach the managment of basal cell carcinoma with only lymph node involvement?
No skin lesion was apparent on exam and extracapsular extension was seen on the excised lymph node. Is radiation therapy sufficient and is there a role for hedghog inhibitor?
Answer from: Medical Oncologist at Community Practice
If all the tumor has been resected, I would recommend adjuvant XRT on the nodal basin, depending on the age of the patient. For very old patients or patients with comorbidities, observation might be warranted.
If there is remaining BCC visible on examination or scans, I would treat systemically wit...
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Answer from: Radiation Oncologist at Academic Institution
Very unusual. Bad behavior. Treat like an SCC.
Answer from: Radiation Oncologist at Community Practice
In such an unusual situation, I would certainly advise histologic confirmation prior to treatment.
Comments
Radiation Oncologist at University of Florida
Good point regarding histology. Years ago, some BC...
Good point regarding histology. Years ago, some BC...