How would you treat a postoperative pT4a NX larynx who had TL without node dissection and no suspicious nodes on pre-surgical imaging, specifying nodal volume and dose levels?  

Are there elective neck regions you would choose treat to high risk (ie. 60 Gy) instead of low risk (ie 54Gy) dose? 

Are there risk favors that would sway you one way or the other such as LVI?



Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at University of Washington
I would also offer localized RT for T4a of the glo...
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Jacob E Locke MD PA
What if your patient had a T2N0 supraglottic, -PNI...
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