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Risks of cN0 disease

Tumor site

cN0

cN0

,

pN+

N0 > N+

with

no neck

treatment

Oral cavity

35-70%

19-54%

17-52%

Oropharynx

17-63%

22%

16-25%

Hypopharynx

28-48%

38%

No data

Larynx:

supraglottis

46-69%

16-26%

33%

Nasopharynx

10-14%

No data

19-50%

Mendenhall

et al.

Head Neck Surg

1980; 3:15-20.

#1

: risk of occult

metastases

#2

: risk of

regional failure

ELECTIVE NECK IRRADIATION

Do we need to treat the neck electively?