How do you manage pT1-2N0 p16+ tonsil cancer treated with TORS and ipsilateral negative neck dissection but with positive margin?

This would be a very unusual situation, especially if the Q is in reference to the palatine tonsil. A well trained Robotic surgeon generally would not have any problems with performing a Radical tonsillectomy for an early stage tonsil primary. The superior constrictor and the pillars (ant+post) form...

I completely agree with @Dr. First Last's comments. In the hands of a well-trained head and neck surgeon, the chance of a positive margin in a T1-2 tonsil/ base of tongue ca would be very unusual. Even if this were to happen, a re-excision should be attempted. If these T1-2 opx cancers are completel...

We see this on occasion from surgeons in the community and I do not consider it a true oncologic surgery, and would also treat with radiation therapy alone if re-excision from a well trained surgeon is not possible. I just consider it a big biopsy and do not see a role for concurrent radiation. I wo...