When would you include the superior mediastinal lymph nodes when treating head & neck cancer and how do you define the target volume?
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When would you include the superior mediastinal lymph nodes when treating head & neck cancer? (select all that apply)
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2 Answers
Mednet MemberInvited Expert
Radiation Oncology · University of Florida
Answered on
Low level 4 and/or 6 nodes.
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Mednet Member
Radiation Oncology · Banner MD Anderson Cancer Center
Answered on
At our institution, we extend treatment volumes to the upper mediastinum in the following circumstances:
- Level 4B node involvement (of any size)
- Bulky nodal involvement of levels 4A or 4B
- Level 6 nodal involvement
- Thyroid primary
We do not treat the upper mediastinum routinely for subglottic exten...
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