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Head and Neck Cancers • Radiation Oncology
What are the indications for adjuvant radiation for a resected intracapsular carcinoma ex pleomorphic adenoma of the parotid?
Do you approach similar to pleomorphic adenoma since it is still non-invasive? If there are indications for treating the primary, do you also electively treat the neck if there has been a neck dissection?
Answer from: Radiation Oncologist at Community Practice
It is unclear to me how the "intracapsular" component would change management since I am not familiar with this entity. However, carcinoma ex pleomorphic adenoma is a high grade cancer and merits PORT.
If neck is pN0 after an adequate dissection, theoretically does not need treatment.
In t...
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Answer from: Radiation Oncologist at Community Practice
Any other thoughts on this question? This "intracapsular" WHO pathologic designation seems somewhat recent.
This review article states (emphasis mine, grammar per original authors): "The non-invasive CA-ex-PA is also known in the literature as intracapsular CA-ex-PA and carcinoma in situ. In this l...