Waldeyer's Ring NHL

[BraggPeak]

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What fields or margins are most people using for Waldeyer's ring lymphoma? I have a paitnet with a DLBCL of the nasopharynx. She is status-post R-CHOP with CR and sent for radiation therapy. Just curious what volumes most of you would treat.

 

[napoleondynamite]

Only the NPX was involved pre-chemo - no cervical nodes?

If that is the case, personally I would only consolidate the NPX and would use margins similar to treating a non-lymphoma NPX patient

 

[mikedc813]

Only the NPX was involved pre-chemo - no cervical nodes?

If that is the case, personally I would only consolidate the NPX and would use margins similar to treating a non-lymphoma NPX patient

That's what I would do too, and what I said on oral boards without any comment from my examiner...