Topics:
Head and Neck Cancers • Radiation Oncology
Do you routinely cover level IA lymph nodes for advanced BOT tumors extending into floor of mouth or oral tongue?
Or do you only treat to IA if the primary is in an oral cavity location?
Answer from: Radiation Oncologist at Academic Institution
Generally speaking, I would cover any draining nodal region that is at risk based upon the involved mucosal subsite(s). If IA is at risk because of anterior oral cavity disease involvement, I would not omit coverage simply for the fact that the primary originated in another location.
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Answer from: Radiation Oncologist at Academic Institution
No. Having published the outcomes of almost 500 patients treated at UF, we rarely see failures in IA nodes.
Answer from: Radiation Oncologist at Community Practice
The lymphatic drainage of the tongue is complex. Lymphatics from the tip of the tongue travel to the submental lymph nodes. This can be ipsilateral or bilateral depending on the site of the lesion. Lymph from the medial anterior two-thirds of the tongue travels to the deep cervical lymph nodes, and ...
Comments
Radiation Oncologist at Vanderbilt-Ingram Cancer Center
IA are submental lymph nodes. You may have meant I...
IA are submental lymph nodes. You may have meant I...