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Head and Neck Cancers • Radiation Oncology
With a head and neck squamous cell of of unknown primary, do you typically treat the larynx?
Answer from: Radiation Oncologist at Academic Institution
Not routinely unless the clinical picture really strongly points to the larynx/hypopharynx e.g. p16- and the only nodes or the largest nodes are in level 3-4. It goes without saying that there should be an extensive search process with experienced surgical and radiologic input to try to find the pri...
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Answer from: Radiation Oncologist at Academic Institution
No; While the advocated MDA approach was to treat the entire pharyngeal axis (which would include the larynx), we have moved away from routine treatment of the larynx/hypopharynx except in the situation of an HPV/p16 -ve node in a heavy smoker.
Answer from: Radiation Oncologist at Academic Institution
In general I do not include the larynx whether HPV positive or not