725 / 1708
Alveolar Head & Neck RMS and Nodal
Failure: MD Anderson Experience
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14 patients with alveolar head and neck RMS. Six of 14 had
nodal disease at presentation
•
6/8 (75%) regional nodal relapses occurred in patients with no
evidence of nodal disease (N0) at presentation.
•
The other two nodal failures were in N+ neck. One had
marginal failure and the other occurred in the neck when the
entire region was not treated just the involved nodal area
•
Currently doing prophylactic nodal irradiation and including
all stations at risk
Ludmir EB et al. ASTRO 2017