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Head and Neck Cancers • Radiation Oncology
Aside from ECE or positive surgical margins, when (if ever) would you offer post-operative chemoradiation in patients with squamous cell cancer of the head and neck?
The NCCN guidelines give the option of "consider systemic tx/RT" for "other factors," what do you consider as other factors? For example: close margin in a young patient with good PS etc.
Answer from: Radiation Oncologist at Academic Institution
Aside from ECE and positive margins, we also offer postop chemoRT to oral cavity cancer with MULTIPLE risk features: for example, a combination of the following: large tumor, bony invasion, close margins, PNI and LVI. We feel oral cavity cancers are more aggressive and have much worse prognosis if m...
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