Topics:
Head and Neck Cancers • Radiation Oncology
How would you treat an ipsilateral retropharyngeal node recurrence in a patient with history of early stage oropharyngeal cancer managed by surgery and no previous adjuvant radiation?
What target volume (node with margin only or include other areas) do you treat and to what dose? What if patient had previous radiation?
Any concurrent or adjuvant systemic therapy?
Would your approach change if the patient is elderly and not a candidate for combined chemo-RR?
Answer from: Radiation Oncologist at Academic Institution
If it were very lateralized, I would not irradiate the contralateral neck. I would irradiate nothing less with curative intent.
Agree with the targets suggested by Dr. @William M...
Would your targets change if the patient was 79 wi...
Hi @Hamilton Williams, I agree with aggressive cov...