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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