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Head and Neck Cancers • Radiation Oncology
What factors would make you consider adding adjuvant radiation to the neck of H&N cancer after a negative dissection (pN0)?
For pN2b disease after bilateral neck dissection, is PORT to the negative side of the neck indicated?
Answer from: Radiation Oncologist at Academic Institution
If there is an indication for adjuvant radiation therapy based on NCCN defined "adverse features", I include both the primary site and the neck even if pN0. It is never possible for the surgeon to remove ALL the lymph nodes in the neck and there is always risk of microscopic involvement of the undis...
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