For a small (<5 mm) hard/soft palate junctional primary with DOI <2 mm status post limited excision with negative but close deep margin, how would you approach neck management in the adjuvant RT setting?   

Patient declined additional wider excision due to associated function morbidity as well as neck dissection. What would you estimate is the risk of clinically/radiologically occult neck disease?



Answer from: Radiation Oncologist at Academic Institution