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6.9.12: 12. Indications for Neck Dissection or Irradiation

  • Page ID
    53889
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    Oropharyngeal cancer: Indications for treatment of Neck

    • Neck can be treated surgically or with primary CRT
    • Clinically/radiologically N0 neck
      • Electively treat neck for all T-stages (other than very early/superficial lesions)
      • Tonsil, lateral oropharynx: Ipsilateral elective RT / SND Levels II – IV
      • Base of tongue, posterior oropharynx wall, soft palate: Bilateral elective RT / SND Levels II – IV
      • Convert to MND if suspicious nodes in neck at time of surgery (+/- frozen section)