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Topics: Head and Neck Cancers • Radiation Oncology • Medical Oncology

When would you consider larynx preservation in patients with T4N+ SCC of the larynx?   



Answer from: Radiation Oncologist at Community Practice
Most T4 patients should not undergo CRT alone. Surgery, followed by postoperative radiation, remains the standard of care for most patients with T4 disease. For patients who decline surgery, concurrent CRT is the best alternative and is superior to radiation alone. However, it is likely still inferi...
Comments
Radiation Oncologist at Banner MD Anderson Cancer Center
Thanks for the excellent summary, including the fa...
Radiation Oncologist at UTMB
An example of minor cartilage involvement is the a...
Radiation Oncologist at Lake Huron Medical Center
Yes - very good point. I had to re-check staging b...
Radiation Oncologist at Washington University in St Louis
While large database analyses are not as robust as...
Radiation Oncologist at Atlanta Oncology Associates
Very nice review of this topic. Thank you. 
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Answer from: Radiation Oncologist at Academic Institution
Yes, if the primary tumor volume was less than 4 cc and the larynx was functional.
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