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

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?
2 Answers
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Radiation Oncology · Icahn School of Medicine at Mount Sinai
Answered on · Updated on

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 primaries....

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Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Memorial Sloan Kettering Cancer Center
Answered on

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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