PowerPoint Presentation

NCCN radiotherapy recommendations

• NCCN currently recommends radiotherapy as a primary treatment modality for non-surgical candidates in the treatment of low- and high-risk BCCs and local low- and high-risk SCCs • It is often reserved for patients over 60 years of age due to concerns for long-term sequelae. • RT is also recommended in high-risk lesions in cases of positive margins after surgical excision and/or if a negative margin is unachievable with MMS. • It may also be considered if there is extensive perineural or large nerve involvement. • NCCN recommends RT with or without chemotherapy in patients with SCCs with positive lymph nodes on FNA or core biopsy who are not surgical candidates or possible adjuvant therapy following surgical resection of lesions