1070-1071 / 2351
Surgery versus RT for T1-2N0-1
Oropharynx Cancer
Pro -RT
–
Mostly single modality
–
Easy elective neck
treatment
•
Con RT/CRT
–
Once a lifetime
–
Costs / duration
–
Salvage surgery has poor
results
–
Long term toxicity
•
CVA (5-7x)
•
Fibrosis/xerostomia/
nerve dysfunctioning
Con Surgery
–
Morbidity of composite
resection
–
SND / RT for neck
Pro Surgery
–
Morbidity is limited if surgery
is transorally (TORS/CO2)
–
SND gives pathology of neck
–
Possible to withhold RT in
about 50% or decrease
dosage
–
Keep RT for unfavorable
cases and second
primaries/recurrences