2006-2007 / 2351
Summary key points
–
P i
t i
di l RT b d i
•
r mary managemen s surgery; ra ca can e use n
inoperable cases
•
Postoperative radiotherapy is recommended in cases of
–
incomplete surgery, T3‐T4, pN+, perineural extension, ACC and other
high risk pathologies
•
Doses of 60–70 Gy should be applied to the CTV
•
Ipsilateral RT; wedge pair 3DCRT or IMRT
•
Isolated neck recurrences or distant metastases are rare and
elective nodal irradiation is only indicated in N+ patients
•
Protons, carbon ions and systemic therapy are still
experimental