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45 year old male patient with a righ-side well lateralized tongue SCC pT1 pN0 cM0 G2 R0 resected one year ago. He did not receive adjuvant treatment.
He presented 1 month ago with a growing lateralized lesion in the right neck, Level 2b. Resection revealed a 2,5 cm SCC metastasis, no (residual?) lymph node tissue found, lesion was resected R0. Preoperative PET showed no other lesion.
We want to give 50 Gy for PTV1 and then 14 Gy for PTV2 (LN region).
Would you include the neck levels bilateral or just ipsilateral into PTV1?
He presented 1 month ago with a growing lateralized lesion in the right neck, Level 2b. Resection revealed a 2,5 cm SCC metastasis, no (residual?) lymph node tissue found, lesion was resected R0. Preoperative PET showed no other lesion.
We want to give 50 Gy for PTV1 and then 14 Gy for PTV2 (LN region).
Would you include the neck levels bilateral or just ipsilateral into PTV1?