What are your criteria for inclusion of the retropharyngeal LN in node negative H&N cancer patients?

Topics: Head and Neck Cancers • Radiation Oncology

Aside from Other nasopharyngeal ca patients and those with cancers of the posterior pharyngeal wall, how do you contend with risks of dysphagia when treating the RP LN?

Answer from: Radiation Oncologist at Academic Institution

I generally include lateral RP nodes in elective volumes for nasopharynx, oropharynx and hypopharynx tumors and any H&N tumor that has invaded into pharyngeal wall/soft palate. Also should consider inclusion in elective volumes for treatment of hard palate / nasal cavity / paranasal sinus primar...

Comments

Radiation Oncologist at Prostate Cancer Institute of America
I agree with @Jerry T. Liu. I'd add that it is wor...

Answer from: Radiation Oncologist at Academic Institution

No issues with dysphagia.Can look at the paper we published (https://www.ncbi.nlm.nih.gov/pubmed/28094212). We don't always treat to skull base for node negative pts.

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