Topics:
Head and Neck Cancers • Radiation Oncology
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?
Answer from: Radiation Oncologist at Academic Institution
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 outcom...
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Answer from: Radiation Oncologist at Academic Institution
Almost never! Only if patient is unfit to be treated or they refuse.
Answer from: Radiation Oncologist at Academic Institution
Good question. Probably 6 months.