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Head and Neck Cancers • Radiation Oncology
What volumes do you cover when delivering salvage radiation for a contralateral neck recurrence after upfront ipsilateral neck radiation for tonsillar cancer?
Do you treat just gross disease with margin or electively treat levels Ib-V? What if the patient is elderly and there is a pacemaker in level IV?
Answer from: Radiation Oncologist at Academic Institution
I'm not sure on the routine clinical need of radiating contralateral IB, or V if it's an isolated neck recurrence - depends on if you would've electively treated that if the patient had not had surgery. II-IV I agree with.If isolated neck recurrence, I'm not sure if ipsilateral RP would need it eith...
Agree with Professor @William M. Mendenhall t...