Special Circumstances

Question 1

What are indications for neck dissection after definitive XRT or CRT?

Answer 1

Persistent neck disease.

Question 2

What dose to brachial plexus be avoided?

Answer 2

Avoid treatment of brachial plexus to doses > 66 Gy

Question 3

If nodal disease is adjacent to brachial plexus what definitive RT dose should you consider?

Answer 3

Consider treating disease to 60-64 Gy with a planned nodal dissection