At what point would you no longer offer adjuvant radiation for adenoid cystic ca of the head and neck?
In a patient with indication for adjuvant radiation (ie. positive margins) after surgery without recurrence, when would you opt for observation only, rather than proceeding with delayed radiation?
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When is it "too late" to offer adjuvant radiation for adenoid cystic carcinoma?
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3 Answers
Mednet MemberInvited Expert
Radiation Oncology · University of Texas MD Anderson Cancer Center
Answered on
While the traditional start within 6 weeks is embedded in our postoperative management algorithms, and seems very intuitive, even this has little evidence to support it; though for SCC there is some literature to support the overall "package".
Additionally, this is used to argue for the best outcome...
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Radiation Oncology · UTMB
Answered on
Almost never! Only if patient is unfit to be treated or they refuse.
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Radiation Oncology · Memorial Sloan Kettering Cancer Center
Answered on
Good question. Probably 6 months.
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