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Feng et al.

IJROBP

2007;28:2732-8.

Feng et al.

J Clin Oncol

2010;28:2732-8.

• 73 patients (prospective trial):

Oropharyngeal cancer stage III-IV

IMRT + concurrent chemo:

63 Gy/35 fractions to the PTV1-”elective”

neck;

59.5 Gy/35 fractions to the PTV2-

”elective” neck.

Limiting dose to the oral cavity and

swallowing structures-minus-PTV-T/N.

• Omitting medial retropharyngeal lymph

nodes from the CTV of “elective” neck.

Target volume reduction (1)