Hey all.
Question about the following scenario:
- H+N (primary site not really that important for this discussion) rhabdo with a single + LN. Embryonal. Resected completely, both primary and LN.
Would you treat only the LN bed to 41.4 Gy? Or...Include the pre-surgical GTV + 2 cm?
What if the tumor was alveolar? Would you treat the LN region to 41.4 Gy and the pre-surgical primary to 36 Gy? Or do you go to 41.4 for both?
I had always assumed there would only be one dose level: That is, even for a completely resected embryonal primary, if +LNs were resected, you would treat both the primary and LN region to 41.4 Gy. Same for alveolar.
However, in my discussion with my oral study partners, I was informed this was not correct.
What do you think?
t
p.s. Yes, for those of you wondering, studying for oral boards is miserable.
Question about the following scenario:
- H+N (primary site not really that important for this discussion) rhabdo with a single + LN. Embryonal. Resected completely, both primary and LN.
Would you treat only the LN bed to 41.4 Gy? Or...Include the pre-surgical GTV + 2 cm?
What if the tumor was alveolar? Would you treat the LN region to 41.4 Gy and the pre-surgical primary to 36 Gy? Or do you go to 41.4 for both?
I had always assumed there would only be one dose level: That is, even for a completely resected embryonal primary, if +LNs were resected, you would treat both the primary and LN region to 41.4 Gy. Same for alveolar.
However, in my discussion with my oral study partners, I was informed this was not correct.
What do you think?
t
p.s. Yes, for those of you wondering, studying for oral boards is miserable.