Is there a role for post operative elective nodal irradiation in locally advanced sinonasal, clinically N0, intestinal type adenocarcinoma (ITAC)?

While I agree with Dr. @Dr. First Last's reply regarding post-operative ENI for high-risk sinonasal malignancies, I would like to offer a few points about treatment technique:

• Historically, treatment with conformal RT for localized malignancy at paranasal sinus (PNS) or nasal fossa would involve ort...

The incidence of positive nodes is about 10% so the incidence of the subclinical disease is likely higher. The morbidity of ENI with an AP field and a midline block is low, so I would treat the nodes electively.