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In what cases of T3N0 glottic SCC, would you omit chemotherapy and offer radiation alone?
Answer from: Radiation Oncologist at Academic Institution
If adjuvant was thought to be too risky or the patient declined.
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Answer from: Radiation Oncologist at Academic Institution
It would be unusual to omit chemotherapy because salvage therapy is often more morbid than concurrent low-dose systemic therapy.Paraglottic space alone is insignificant upstaging per Dagan 2007 especially if only seen on MRI. I am comfortable with the RT-alone approach in this situation.Dagan et al....
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Radiation Oncologist at St Francis Medical Center
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Answer from: Radiation Oncologist at Community Practice
We do not have the luxury of obtaining required diagnostic studies. Often we order a study that is approved by the health insurance.
Will order an MRI to evaluate the extension of carcinoma of the larynx.