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a

May be omitted if only levels I-III are involved.

b

Level VI for for esophageal extension.

c

Level VI for transglottic and subglottic tumors.

Selecting node level to include in the CTV in N2b

Tumor site

Level I Level II Level III Level IV Level V Retropharyngeal

Oral cavity

+

+

+

+

+

a

-

Oropharynx

+

+

+

+

+

+

Hypopharynx

b

+

+

+

+

+

+

Larynx

c

±

+

+

+

+

-

Nasopharynx

+

+

+

+

+

+

Gregoire et al.

Radiother Oncol

2000; 56:135-50.

Eisbruch et al.

Semin Radiat Oncol

2002;12:2380-49.