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Head and Neck Cancers • Radiation Oncology
How would you treat maxillary ameloblastic carcinoma s/p R1 resection and perineural invasion?
What would be your radiation dose and target volumes? Concurrent chemo? Would you offer neck node radiation if no neck dissection was done?
Answer from: Radiation Oncologist at Academic Institution
Treat like a squamous cell carcinoma. 66-70 Gy at 2 Gy per fraction. Treat to the skull base. Consider protons depending proximity to visual apparatus. Electively treat the neck.
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