Considering the surgical margins used in TORS, is it necessary to cover the entire tongue base with an elective dose in IMRT of cT1-3 HPV+ squamous cell carcinoma grossly involving one side of the base of tongue?   

For instance, VMAT planning can sometimes deliver very low doses to the contralateral base of tongue. Do you worry about this? What is your approach?



Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at HCA South Atlantic
Completely agree. A large number of poorly selecte...
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Answer from: Radiation Oncologist at Academic Institution

Answer from: Radiation Oncologist at Community Practice
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Radiation Oncologist at USC Keck School of Medicine
Thanks @Anand K. Sharma. Do you follow similar vol...
Radiation Oncologist at HCA South Atlantic
Yes.
Radiation Oncologist at University of Florida
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Answer from: Radiation Oncologist at Community Practice
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Radiation Oncologist at Vanderbilt-Ingram Cancer Center
It is variation in practice. Some folks cover the ...
Radiation Oncologist at Tennessee Oncology
Fair points and thanks for your time. Food for tho...
Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Thanks for the link, glad to see it being evaluate...
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