Would you alter your treatment plan of the neck for oropharynx cancer after an excisional biopsy/violation of the neck?

Topics: Head and Neck Cancers • Radiation Oncology

Do you have concern for aberrant lymphatic drainage?

Do you cover more generously (ie. add IB/V on the contralateral cN0 neck etc.)?

Answer from: Radiation Oncologist at Community Practice

I would base my decision on pathology. 1. Evidence of ECE or soft tissue invasion: cover the scar and tissue plane there-under to full dose. In this scenario I wire scar and place bolus with 2cm margin around at time of sim. Cover soft tissue leading up to scar to mimic dissection plane. Cove...

Comments

Radiation Oncologist at Boston Medical Center, Boston University School of Medicine
TLD or OSLD placement under bolus helpful to evalu...

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