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Head and Neck Cancers • Radiation Oncology
How do you approach treatment volumes and dosing around post-operative neck dissection scars in patients with head and neck SCCs?
Do you always take scar to full dose or do you use specific criteria (e.g. ECE or LVI) to determine dosing and coverage? Do you routinely bolus with IMRT?
Answer from: Radiation Oncologist at Community Practice
The traditionally accepted target volume for post op RT is the "surgical bed" - meaning all the areas where the knife has been! This volume is generally treated to 60 Gy in 30 fx for SCC + additional boost for close/positive margins and/or ECE. One could consider lowering the dose to 56-57 Gy f...
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