Treatment Algorithm

Question 1

What stage has been historically used to determine RT alone vs. chemoRT?

Answer 1

T stage

Question 2

For oropharyngeal cancer T1/2 what is the treatment paradigm?

Answer 2

RT alone (consider ipsilateral RT for well lateralized tonsil cancer)

Question 3

For bulky T2 what options/modifications can you apply with your definitive RT?

Answer 3

concurrent cetuximab or accelerated fx

Question 4

For oropharyngeal cancer T3/4 what is the treatment paradigm?

Answer 4

Concurrent chemoRT with cisplatin

Question 5

What are the criteria for ipsilateral RT?

Answer 5

tonsil primary, < 1 cm soft palate involvement, no BOT involvement, ipsilateral nodal disease

Question 6

What is the risk of contralateral neck failure for ipsilateral tonsil treatment?

Answer 6

0-3%