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Topics:
Head and Neck Cancers • Radiation Oncology
Can a nonbulky, T1-2 supraglottic larynx cancer near the vocal cords be treated like a glottic tumor?
What field size and dose/fractionation would you use?
Would you treat lymph nodes?
Answer from: Radiation Oncologist at Academic Institution
The supraglottic larynx and the pharynx, unlike the glottic larynx, share similar embryological origins and therefore exhibit analogous lymphatic drainage patterns to levels II and III. Therefore, occult dissemination to regional lymph nodes has to be considered regardless of the characteristics of ...
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Answer from: Radiation Oncologist at Academic Institution
I would treat both necks Lv. II-IV as well
Radiation Oncologist
If the patient's tumor was T1N0 of false cord and had a negative PET/CT and had a history of carotid artery problems, I would consider a more limited carotid artery sparing technique. The lymphatic supply to the false cords is sparser than to other supraglottic sites.
With the caveats noted a...