Topics:
Head and Neck Cancers • Radiation Oncology
How would you manage the contralateral neck and adjacent structures for a glossotonsillar or glossopharyngeal sulcus primary cancer if well lateralized?
Does the entire bilateral BOT & ipsilateral tonsil need to be included in the elective CTV?
Answer from: Radiation Oncologist at Academic Institution
The glossopharyngeal and glossotonsilar sulci are the grooves between the lateral oropharyngeal wall or the tonsil and the base of the tongue, representing a very lateral OPC location that does not require contralateral neck RT. The main neck nodes at risk are II and III. In the absence of significa...
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Answer from: Radiation Oncologist at Academic Institution
While the question asks a specific location, the answer can be viewed more globally, as it depends on what your practice is.The question is also 2 questions - the first asking about the neck and the second about primary coverage specifically CTV2 or the primary expansion around CTV1 that goes to a s...
Answer from: Radiation Oncologist at Academic Institution
No. Yes.