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Head and Neck Cancers • Radiation Oncology
Is there a role for post operative elective nodal irradiation in locally advanced sinonasal, clinically N0, intestinal type adenocarcinoma (ITAC)?
What is your general approach to this rare histology?
Answer from: Radiation Oncologist at Academic Institution
While I agree with Dr. @William M. Mendenhall's reply regarding post-operative ENI for high-risk sinonasal malignancies, I would like to offer a few points about treatment technique:
Historically, treatment with conformal RT for localized malignancy at paranasal sinus (PNS) or nasal fossa woul...
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Answer from: Radiation Oncologist at Academic Institution
The incidence of positive nodes is about 10% so the incidence of the subclinical disease is likely higher. The morbidity of ENI with an AP field and a midline block is low, so I would treat the nodes electively.