علاج سرطان الغدة تحت اللسان القابل للاستئصال مع العقد الليمفاوية العنقية الإيجابية (cN+)

References

DOI: 10.1016/j.esmoop.2022.100602

• Surgery is the mainstay of treatment for primary resectable disease with the traditional open approach being the most widely used, although endoscopic and robot-assisted approaches have recently been described.
• When carrying out therapeutic neck dissection for clinically or radiologically positive lymph nodes (cN+), the recommendation is to carry out a comprehensive neck dissection of levels I-V.
• Post-operative RT is indicated for all cases of pN+ neck.
• After incomplete resection, a dose of 33 x 2 Gy is described for the primary tumour region plus a 1 cm margin, with 30 x 2 Gy after a clear resection.
• A dose of 30 x 2 Gy is recommended for the involved level, and 33 x 2 Gy in case of extranodal disease.