Topics:
Head and Neck Cancers • Medical Oncology
How would you approach therapy for a nasal high grade neuroendocrine tumor with ipsilateral local cervical adenopathy?
Answer from: Medical Oncologist at Community Practice
A couple of additional thoughts on work-up: Is the pathologist calling this small cell histology (as opposed to SNUC, esthesioneuroblastoma, etc) or a low grade NEC? I would also request tumor NGS and PD-L1. MRI brain to r/o mets if not done already should be considered.
If it is high grade...
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Answer from: Radiation Oncologist at Academic Institution
Dr. @Nagashree Seetharamu has provided very good points. I would just like to supplement with a Rad Onc viewpoint: Since the question as posted mentioned "ipsilateral local cervical adenopathy", I would feel that bilateral cervical lymphatics should be included in the RT treatment volume since ...