Should upfront neck dissection in head and neck squamous cell carcinoma obviate the need for chemo in a T1N2 oropharyngeal cancer with no ECE?  

Some ENTs advocate for a neck dissection as a way to avoid chemotherapy if there is a high chance there is no ECE. This is without removing the primary site. 

Would you treat with RT alone for a T1 BOT that had a neck dissection with 2 lymph nodes and no ECE (primary not resected)

Answer from: Radiation Oncologist at Academic Institution
Radiation Oncologist at Levine Cancer Institute
Agree with @Jimmy J. Caudell-as an initial strateg...
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