Topics:
Head and Neck Cancers • Radiation Oncology
In oral cavity cancers, how does WPOI (worse pattern of invasion) influence your decision to offer adjuvant therapy?
For a patient with pT2N0 oral tongue cancer and no other adverse risk features (no LVI or PNI), would WPOI 4 or 5 be enough to offer adjuvant radiation?
Answer from: Radiation Oncologist at Academic Institution
It doesn’t.
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Answer from: Radiation Oncologist at Community Practice
Currently, it doesn’t change recommendations without any other adverse factor. So the above case would favor observation.