Would you alter your treatment plan of the neck for oropharynx cancer after an excisional biopsy/violation of the neck?
Do you have concern for aberrant lymphatic drainage?
Do you cover more generously (ie. add IB/V on the contralateral cN0 neck etc.)?
Answer from: Radiation Oncologist at Community Practice
I would base my decision on pathology.
1. Evidence of ECE or soft tissue invasion: cover the scar and tissue plane there-under to full dose. In this scenario I wire scar and place bolus with 2cm margin around at time of sim. Cover soft tissue leading up to scar to mimic dissection plane. Cove...
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Radiation Oncologist at Boston Medical Center, Boston University School of Medicine TLD or OSLD placement under bolus helpful to evalu...
TLD or OSLD placement under bolus helpful to evalu...