Mednet Logo
HomeQuestion

For a R0 resected large inverted papilloma of the maxillary sinus with invasion into multiple surrounding structures but only a small malignant portion, would you cover the entire papilloma extent or only the malignant portion post-op?

2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Memorial Sloan Kettering Cancer Center
Interesting question. It is very hard to accurately map out where the malignant portion is. I would treat the entire postop cavity to 60-66Gy.

Register or Sign In to see full answer

Mednet Member
Mednet Member
Radiation Oncology · Medical University of South Carolina (Charleston)

If there is a very limited focus of carcinoma, I would consider observing. However, if I were to irradiate, I would cover the entirety of the preoperative location of the inverting papilloma. No one can tell exactly where the carcinoma is anatomically in the surgical specimen.

Register or Sign In to see full answer

For a R0 resected large inverted papilloma of the maxillary sinus with invasion into multiple surrounding structures but only a small malignant portion, would you cover the entire papilloma extent or only the malignant portion post-op? | Mednet