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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 Member
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Radiation Oncology · University of Florida
Answered on

Low level 4 and/or 6 nodes.

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Mednet Member
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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