Topics:
Head and Neck Cancers • Radiation Oncology
In what situations (if any) would you recommend ENI for a low grade parotid mucoepidermoid carcinoma?
What levels would you cover and to what dose?
Answer from: Radiation Oncologist at Community Practice
Not sure if I understand the question correctly but I will give the best answer I can. There aren’t many reasons to treat low-grade parotid mucoep. If you’re treating for positive margins only, I wouldn’t do ENI. If you’re treating for PNI, cover nerves to skull base. If ther...
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Answer from: Radiation Oncologist at Community Practice
I will never treat neck electively in low-grade mucoepidermoid carcinoma of the parotid. The risk of occult nodal metastasis in low-grade mucoepidermoid cancers of major salivary glands is extremely low.