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)
- Clinically/radiologically N+ neck: CRT / Modified neck dissection (MND) / Radical neck dissection (RND)
- Salvage neck dissection following primary CRT
- Planned neck dissection or for incomplete response (clinically/CT/MRI/PET) at 6 -12 weeks
- Recurrence