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Topics:
Head and Neck Cancers • Radiation Oncology
What is your approach to nodal coverage in a patient with lateralized adenoid cystic carcinoma (ie., buccal mucosa) with positive lymph node(s)?
Do you cover the entire ipsilateral neck or limit the field to involved nodal level(s), (assuming not chasing nerve for PNI)?
Do you ever cover the contralateral neck? Do factors like number of +nodes (single vs. multiple), ENE, size etc. change your decision?
Answer from: Radiation Oncologist at Community Practice
I would cover the ipsilateral neck and named nerve to at least the foramina at the skull base.
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