Topics:
Head and Neck Cancers • Radiation Oncology
How do you approach a case of nasopharyngeal adenoid cystic carcinoma with neck node unilaeral involvement?
Do you use same contour guidelines of nasopharyngeal cancer?
What levels would you cover on the involved neck side? When would you electively cover the contralateral neck?
Answer from: Radiation Oncologist at Academic Institution
ACCs could spread to the lymph nodes on occasion. This probability increases when they arise from minor salivary glands located in regions rich in lymphatic drainage such as the pharynx. If a patient were to present with node positive disease, I would treat the bilateral neck lymph nodes with an ele...
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