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Do you take the primary dissected site for postoperative oral cavity cancers with bony invasion to 66 Gy?
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Mednet Member
Radiation Oncology · University of Texas MD Anderson Cancer Center
Dr. @Dr. First Last correctly addresses the nuanced indication for PORT due to bone involvement.
60 Gy is embedded in the PORT culture. For at least 30 years, RTOG trials have recommended 60 Gy with an optional boost to 66 Gy for PORT, though the EORTC trial (Bernier et al., PMID 15128894) went to 66...
Mednet Member
Radiation Oncology · University of Michigan
While any bone invasion in oral ca is regarded T4 by AJCC, there is a substantial difference between alveolar ridge cancers involving just the cortical bone (which may frequently occur in small alveolar ridge cancers), or the medullary bone. Several studies reported that medullary, but not cortical ...