What is the role of up-front neck dissection in locally advanced head and neck squamous cell carcinoma?   

Specifically, what arguments can be made for or against upfront neck dissection in patients who present with necrotic neck nodes?  How would the outcome of neck dissection affect subsequent management (adjuvant RT, adjuvant chemo-RT, coverage, dose etc.)



Answer from: Radiation Oncologist at Community Practice

Answer from: Radiation Oncologist at Academic Institution