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Topics:
Head and Neck Cancers • Radiation Oncology
When would you cover the pre- and/or post-auricular nodal basins electively in the post-op setting for tumor involving the parotid gland?
Does the histology (primary salivary gland vs metastatic squamous from a skin primary) affect your decision making?
Any other factors that influence coverage of those basins?
Answer from: Radiation Oncologist at Academic Institution
The facial nodes are rarely involved and treating them significantly increases morbidity. I typically treat levels 1b, 2, and 3 for most parotid glad tumors. I do cover them for high grade (grade 3) carcinomas and any squamous cell carcinoma metastatic to parotid nodes.
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