How does surgical management of the ipsilateral cN0/pN0 neck with SLN vs standard neck dissection impact your adjuvant elective neck dose in oral cavity cancer?

Correct me if I am not interpreting the question correctly, but I infer that there is a primary indication for XRT, and the question relates to, since you need to treat the primary, what elective dose should the neck be prescribed, and how should it be determined to be N0 influence dose decisions?

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I assume that pN0 in this case means negative sentinel node biopsy (SNB). An important issue is the sensitivity of SNB and the outcomes of false-negative SNB. The largest trial of SNB without neck dissection was the Sentinel European Node Trial (Schilling et al., PMID 26597442), where SNB was assess...

A pN0 neck after a standard ND does not warrant PORT - per prospective data from Wash U in JCO. Assuming, of course, the yield of the ND was satisfactory, >15-20 nodes. After SLN deemed N0, I am not sure there is robust data to guide practice. In my practice, I tend to offer ENI (elective neck irrad...

It does not influence me.