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Isolated regional failure after IMRT

Yao

et al.

IJROBP

2005;6:101-8.

Shoenfeld

et al.

IJROBP

2008;71;377-85.

Duprez

et al.

IJROBP

2011; 79:450-8.

Yossi

et al.

Cancer Radiother

2015; 19:73-81.

Study

n

Median

follow-up

(year)

Chemo,

n

(%)

Elective neck

D (Gy)

Isolated regional

relapse

Yao 2005

150

1.5

68 (45)

50-60

2%

Schoenfeld 2008 100

2.7

54 (54)

50-54

2% at 3 years

Duprez 2011

285

2.3

92 (32)

56-66

3% at 2 years

Yossi 2015

167

2.9

130 (77)

50

4.2%

<5%

What are results of elective neck irradiation?

Isolated regional failure –

lymph node relapse in cN0/pN+ after elective neck

irradiation.

De-intensification of

elective neck irradiation

Swallowing

disturbances

≥50 Gy