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Would you consider RT to LNs in a gr 2-3 adenocarcinoma of the lacrimal gland if there are high risk features?

If so, what high risk features would influence your decision? Would + margins, PNI, LVSI etc be reason to treat LN? If you would treat lymph nodes, which ones and what technique which you use?
1 Answer
Mednet Member
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Radiation Oncology · Medical University of South Carolina (Charleston)
Answered on

I always irradiate regional nodes. I treat facial and levels 1 to 3. I have seen failures in facial nodes when only levels 1 to 3 are treated. I have seen level 1 failures when only the facial nodes are treated. These are aggressive cancers. I treat with IMRT.

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