Topics:
Head and Neck Cancers • Radiation Oncology
What elective areas do you cover for a primary oropharynx SCC isolated to the pharyngeal wall?
This is an uncommon clinical scenario where textbooks suggest to cover the primary tumor and elective coverage of levels II-IV
Do you cover any additional adjacent anatomical areas? What levels nodes do you cover?
Answer from: Radiation Oncologist at Community Practice
In addition, you would also cover the entire retropharyngeal lymph node axis - jugular foramen down to hyoid, both medial/lateral nodes. If either side of neck is N+, can consider IB/V.
And, then treat as you would other head and neck - GTV + CTV + PTV to high dose, intermediate risk can be h...
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