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Head and Neck Cancers • Radiation Oncology
What dose do you recommend in adjuvant setting following R0 resection of Sinonasal undifferentiated carcinoma (SNUC) involving paranasal sinuses/nasal cavity and close proximity to eyes?
Additionally, what dose constraint(s) do you use to avoid issues with vision?
Answer from: Radiation Oncologist at Academic Institution
60 Gy to primary site and 50 Gy to neck with protons.
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Answer from: Radiation Oncologist at Academic Institution
The patient should receive radiation and perhaps consider chemotherapy.
I would use 60 Gy to postop bed.
I usually give 40 Gy to subclinical nodal region levels Ib-IV and RO regions.
Unless tumor very posterior and there is no concern for level IB spread.
Standard constraints to all norm...