What is your approach to definitive RT for nasal vestibule squamous cell carcinomas?

Would you do IMRT or 20MeV/6MV electron/photon mix (traditional moustache field)?

When do you treat LNs? T3/T4?

What LN levels would you include? level I/II only?

Answer from: Radiation Oncologist at Community Practice

I would use IMRT. For N0, I would treat at a minimum levels 1B, 2, and the in-transit facial lymphatics that used to get included in the traditional "moustache field". These in-transit lymphatics have been designated as level IX in the 2014 consensus nodal guidelines. For node-positive, I also treat...

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Radiation Oncologist at Washington University School of Medicine
I agree with the above overall treatment plan. In ...

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What is your approach to definitive RT for nasal vestibule squamous cell carcinomas?

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