T3 lip cancer post-op

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XRT_doc

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Would you treat a T3 lip cancer that's post-operative with IMRT to cover LNs too?

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Was the neck assessed during surgery? Unilateral, bilateral neck dissection? Number of nodes removed?
 
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Was it a well lateralized disease? Upper lip or lower lip?
 
I wouldn't cover the neck then.
 
I would still cover B/L levels I-IV if + PNI or + LVSI
 
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