Topics:
Head and Neck Cancers • Radiation Oncology
Do you ever treat the contralateral neck for high grade mucoepidermoid salivary gland carcinomas?
For example, if there is extensive ipsilateral lymph node involvement and extracapsular extension for a submandibular gland tumor?
Answer from: Radiation Oncologist at Academic Institution
I wont say never, but in general even in the scenario you describe I would say no. This is relatively controversial, and we once did an informal poll among a few HN XRT experts, and in this non-scientific poll a consensus was not reached on the subject.
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Answer from: Radiation Oncologist at Academic Institution
No. But I have had patients with IA or medial supraclavicular nodes for whom I brought the field over the anterior midline.