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9 Cards in this Set

  • Front
  • Back
How are early lesions treated?
With RT b/c they are very sensitive (T1 do well)
What if the lesion is large?
It can be excised, but with considerable morbidity
How often is RT used in this situation?
RT is used for most Pt in all stages, with surgery for salvage
What happens if RT fails?
A big surgery is done, where as the pt will have to have a peg and trachea permanent,
When treating, what are some techniques?
If nodes are negative, Mix energy 4/6 MV with wedge pair technique
Why Mixed Energies?
Combination of photon and electron b/c tonsil is close to the surface of the effected side(they target the appropriate tumor volume with electrons to cut down on the exit dose), but the IMRT with spare the salivary glands; so that is what is used.
Out of all treatment area's, what area receives the highest dose?
H&N
Why is the cervical cord always a worry?
Cause if over treated it can cause paralysis
What kind of dose is used for tonsillar Cancer?
+T1 to T3 lesion: 74-76.8 Gy (1.2 BID)
+ T4 lesion: 76.8 Gy