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Is stage N2a alone an indication for PORT in oropharyngeal squamous cell carcinoma with no other adverse features?

In a case with negative margins, T1-2 primary, no ECE, no perineural invasion, etc, is adjuvant radiotherapy indicated based on N2a stage?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · University of Texas MD Anderson Cancer Center
Answered on

The short answer is yes, based on it falling in a list of indications for post-op xrt, which includes lymph node size > 3cm. Further, if this were an oral cavity tumor, some would argue that any node positive patient should be treated adjuvantly (ie even N1, though interestingly many oral cavity can...

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