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Microscopic disease: implications for the CTV-N

Apisarnthanarax et al.

IJROBP

2006;64:678-83.

• 96 cervical lymph node metastases

SCC of head-and-neck

Extracapsular extension

GTV-N ≤3 cm

• Mean ECE 2.2 mm, median ECE 1.6 mm.

• 96% of lymph nodes had ECE <5 mm.