Selective use of postoperative neck radiotherapy in oral cavity and oropharynx cancer: a prospective clinical study

In cervical postoperative radiotherapy, the target volume is usually the same as the extension of the previous dissection. We evaluated a protocol of selective irradiation according to the risk estimated for each dissected lymph node level. Eighty patients with oral/oropharyngeal cancer were include...

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Veröffentlicht in:	Radiation oncology (London, England) England), 2013-04, Vol.8 (1), p.103-103, Article 103
Hauptverfasser:	Martinez Carrillo, Miguel, Tovar Martin, Isabel, Martinez Lara, Ildefonso, Ruiz de Almodovar Rivera, Jose Mariano, Del Moral Avila, Rosario
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Cancer therapies Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - radiotherapy Carcinoma, Squamous Cell - surgery Care and treatment Combined Modality Therapy Diagnosis Dissection Female Head & neck cancer Head and Neck Neoplasms - pathology Head and Neck Neoplasms - radiotherapy Head and Neck Neoplasms - surgery Health aspects Hospitals Humans Lymphatic Metastasis - radiotherapy Lymphatic system Male Middle Aged Mouth Neoplasms - pathology Mouth Neoplasms - radiotherapy Mouth Neoplasms - surgery Neck Dissection Oral Surgical Procedures Oropharyngeal Neoplasms - pathology Oropharyngeal Neoplasms - radiotherapy Oropharyngeal Neoplasms - surgery Patient compliance Postoperative Period Radiation Radiation therapy Radiotherapy Radiotherapy Planning, Computer-Assisted Radiotherapy, Adjuvant Squamous Cell Carcinoma of Head and Neck Surgery Throat cancer
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Zusammenfassung:	In cervical postoperative radiotherapy, the target volume is usually the same as the extension of the previous dissection. We evaluated a protocol of selective irradiation according to the risk estimated for each dissected lymph node level. Eighty patients with oral/oropharyngeal cancer were included in this prospective clinical study between 2005 and 2008. Patients underwent surgery of the primary tumor and cervical dissection, with identification of positive nodal levels, followed by selective postoperative radiotherapy. Three types of selective nodal clinical target volume (CTV) were defined: CTV0, CTV1, and CTV2, with a subclinical disease risk of
ISSN:	1748-717X 1748-717X
DOI:	10.1186/1748-717x-8-103