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Conclusion

Response driven management of the neck

LND in <20%

Isolated failures in 4%

Cost effective (over a short time horizon)

“These important data combined with large contemporary

institutional series reporting excellent outcomes with response-

based neck management strongly suggest response-based neck

management

should be the standard of care

for patients with

N2/3 selected to undergo radiation plus or minus chemotherapy,”

Dr. Waldon, Univ. Toronto, Discussion leader ASCO 2015