How do you delineate target volumes for patients who receive induction chemotherapy prior to definitive chemoradiation for locally advanced head and neck cancers?

Topics: Head and Neck Cancers • Radiation Oncology

How do you account for the change in tumor volume? Do you use pre or post-chemo volume?

Do you alter dose based on response?

Answer from: Radiation Oncologist at Academic Institution

We almost always evaluate our patients prior to start of induction chemotherapy (unless referred from outside) for a physical examination and ordering all diagnostic tests. The main principle to keep in mind is that all pre-chemotherapy extent of the disease should be included in the treatment volum...

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Radiation Oncologist at CCare
It sounds like the question is also asking about d...

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Although E1308 showed good results in a sub-subset...

Answer from: Radiation Oncologist at Academic Institution

Based on pretreatment physical exam and imaging. If chemo was started prior to referral to you, educate your medical oncologist

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