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Head and Neck

V – profylactic/elective N site

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Microscopic spread can not be imaged sufficiently

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~ 30% of those staged N

0

on imaging have N+ on radical neck dissection

- Shah JP, Am J Surg, 1990

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International guidelines defines surgical node-levels on axial CT

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Which levels to include?

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Local guidelines

2015/May/29

Gregoire Rad Onc 2003