Topics:
Head and Neck Cancers • Radiation Oncology
In what scenario, if any, would you treat a unilateral neck (vs. bilateral neck) for post-operative oral cavity (in historically midline structures such as oral tongue, FOM etc) SCC patients?
Do you prefer covering bilateral neck in all cases or do you make exceptions?
There appears to be conflicting opinions in the literature:
https://www.redjournal.org/article/S0360-3016(18)31143-X/fulltext
https://www.ncbi.nlm.nih.gov/pubmed/26138827
https://www.ncbi.nlm.nih.gov/pubmed/20188492
https://www.ncbi.nlm.nih.gov/pubmed/16721743
Answer from: Radiation Oncologist at Community Practice
RTOG protocols treat the bilateral neck, even with well lateralized lesions of the oral tongue, and many would cover the entire tongue, not just the primary tumor bed with margin. Just wanted to point out that there is some evidence supporting unilateral neck radiation in this situation. In select...
Comments
Radiation Oncologist at Private Practice
Do you know the number for RTOG protocols ?
Do you know the number for RTOG protocols ?
Answer from: Radiation Oncologist at Community Practice
Has the neck been addressed surgically?
As a purist, I agree with above, i.e., would treat bilateral neck for OC midline tumors. However, the recently published long-term results of a Phase II study from WashU that looked at eliminating PORT in *pN0* neck did give me pause...
Comments
Radiation Oncologist at University of Missouri at Columbia, Ellis Fischel Cancer Cener
I agree, this is compelling data from Wash U. It i...
I agree, this is compelling data from Wash U. It i...
I agree. I got burnt on a couple of occasions when...
I agree with your approach, but it doesn't specifi...