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Dose needed for lymph node metastases control

In literature still some uncertainty !

• Escalation typically recommended up to 55-60Gy

• SIB IMRT – 55Gy/25# with option of sequential boost -

10Gy/5#

• FDG avid nodal disease - 62Gy/31# SIB

Grigsby PW, et al Int J Radiat Oncol Biol Phys

2001, 49(3):733–738

.

Beadle BM, et al Int J Radiat Oncol Biol Phys 2010, 76(5):1396–1403.