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Head and Neck Cancers • Radiation Oncology
What anatomical sites would you electively cover to intermediate dose for an oropharyngeal primary with clear extension into the nasopharynx?
For what is clearly a oropharyngeal primary, with clear extension up the soft palate and into the nasopharyngeal lateral wall, should the intermediate dose volume encompass similar volumes as those in a nasopharynx primary? In other words, should part of the clivus, inferior sphenoid, posterior maxillary/nasal cavity etc etc. all be covered?
Answer from: Radiation Oncologist at Community Practice
I have had a case like this and I have to admit, I was not sure what the right thing to do was. How extensive is the NP disease component? Is there perineural spread on MRI? Hpv status?
Ultimately, my patient was a light smoker with hpv related disease. I decided to treat more like an orophar...
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