إدارة ما بعد الجراحة لسرطان الغدة تحت اللسان القابل للاستئصال مع عدم وجود تورط سريري أو إشعاعي للعقد اللمفاوية العنقية (cN0, M0)

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.
• In oral cavity (levels I, II, III and IV) and oropharyngeal (levels II, III and IV) minor SGC, and in high-grade MEC and AdCC, the occult rates largely exceed 20% and END is indicated.
• 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.