Topics:
Head and Neck Cancers • Radiation Oncology
In what cases of T3N0 glottic SCC, would you omit chemotherapy and offer radiation alone?
Answer from: Radiation Oncologist at Academic Institution
If adjuvant was thought to be too risky or the patient declined.
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Answer from: Radiation Oncologist at Academic Institution
It would be unusual to omit chemotherapy because salvage therapy is often more morbid than concurrent low-dose systemic therapy.Paraglottic space alone is insignificant upstaging per Dagan 2007 especially if only seen on MRI. I am comfortable with the RT-alone approach in this situation.Dagan et al....