How do you manage persistent tumors at the primary and/or nodal site for p16+ tonsilar SCC after definitive chemo-RT?
How long do you allow for response before deeming it suspicious for residual disease?
What work up (imaging, biopsy) do you recommend?
How do you salvage proven residual disease?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · NYC Health + Hospitals
Answered on · Updated on
I would get a first PET-CT and CT with contrast (or MRI, if that was the better study pre-RT) 12-14 weeks after completion of RT/CRT. There are a number of studies on the optimal timing of PET/CT after treatment of p16+ cancers, including a case series published by my team: Wotman et al: 2019.
In my...
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