How would you determine ipsilateral vs bilateral neck irradiation for early stage, well lateralized nasal cavity SCC?
Answer from: Radiation Oncologist at Academic Institution
In general, anterior nasal cavity tumors drain to level IB through the facial nodes and to level II, while posterior cancers drain to level II as well as retropharyngeal (VIIA) and retrostyloid (VIIB) nodes through the nasopharynx. Whether there is a difference in contralateral risk for well-lateral...
Answer from: Radiation Oncologist at Academic Institution
Not exactly sure I understand what is meant by well-lateralized for nasal cavity. If meaning the lateral wall, then maxillary sinus involvement should be considered, which increases nodal risk. In general, I would recommend ENI for nasal cavity SCC if T2 and >2cm. If treating the cN0...
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Radiation Oncologist at Cook Radiation Oncology Thank you for your response. Patient with middle t...