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SpecialtiesRadiation OncologyQuestion

In what head and neck subsites, if any, would you recommend adjuvant radiation s/p high quality neck dissection if pN1 disease (single ipsilateral LN <3cm) was the only risk factor?

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2 Answers
Mednet Member
Mednet Member
Radiation Oncology · David Geffen School of Medicine at UCLA

The societal guidelines are all over the place. I will consider PORT in pN1 patients without other pathological risk factors if the primary was oral cavity. Oral cavity primary is, itself, a risk factor for locoregional recurrence (Peters et al., IJROBP 1993). Various retrospective studies have sugg...

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Mednet Member
Mednet Member
Radiation Oncology · University of Florida

If the node was 3-4 cm or larger where the likelihood of ENE is high and may have been missed.

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