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Head and Neck Cancers • Radiation Oncology
How do you treat locally advanced medullary thyroid cancer with postoperative RT?
What dose and fractionation is appropriate for medullary thyroid carcinoma with extrathyroid extension, bilateral cervical lymph node levels 2-5 with extranodal extension, paratracheal node involvement with extranodal extension, and thymus involvement s/p excision with positive margins throughout? Gross unresected disease remains in the mediastinum levels 4, 7, and bilateral hilar lymph nodes. Also what is the appropriate literature for treatment guidance?
Answer from: Radiation Oncologist at Academic Institution
Medullary thyroid cancer typically presents with extensive LN metastases, and this case represents a typical very advanced case. Cases of more localized cancers which I have treated were characterized by adequate control of the irradiated disease, however, in all such patients disease progressed in ...
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