Proposal for the delineation of the nodal CTV in the node-positive and the post-operative neck

Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology
Vincent GrégoirePeter Levendag

Abstract

In 2003, a panel of experts published a set of consensus guidelines regarding the delineation of the neck node levels (Radiother Oncol, 2003; 69: 227-36). These recommendations were applicable for the node-negative and the N1-neck, but were found too restrictive for the node-positive and the post-operative neck. In this framework, using the previous recommendations as a backbone, new guidelines have been proposed taking into account the specificities of the node-positive and the post-operative neck. Inclusion of the retrostyloid space cranially and the supra-clavicular fossa caudally is proposed in case of neck nodes (defined radiologically or on the surgical specimen) located in levels II, and IV or Vb, respectively. When extra-capsular rupture is suspected (on imaging) or demonstrated on the pathological specimen, adjacent muscles should also be included in the CTV. For node(s) located at the boundary between contiguous levels (e.g. levels II and Ib), these two levels should be delineated. In the post-operative setting, the entire 'surgical bed' should be included. Last, the retropharyngeal space should be delineated in case of positive neck from pharyngeal tumors. The objective of the manuscript is to give a comprehensive de...Continue Reading

References

Jun 1, 1968·Archives of General Psychiatry·M FischH Turner
Apr 8, 1998·Radiology·H D CurtinB J McNeil
Sep 7, 1999·International Journal of Radiation Oncology, Biology, Physics·P J NowakP C Levendag
Nov 30, 1999·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·O B WijersP J Nowak
Mar 22, 2000·International Journal of Radiation Oncology, Biology, Physics·L A DawsonA Eisbruch
Jan 16, 2003·International Journal of Radiation Oncology, Biology, Physics·K S Clifford ChaoDaniel A Low
Dec 4, 2003·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Vincent GrégoireHervé Reychler
Apr 20, 2004·International Journal of Radiation Oncology, Biology, Physics·Avraham EisbruchGregory T Wolf
Jul 28, 2004·International Journal of Radiation Oncology, Biology, Physics·Ian PoonTheodore Phillips
Dec 14, 2004·International Journal of Radiation Oncology, Biology, Physics·Avraham EisbruchAlfons J M Balm
Oct 26, 2005·International Journal of Radiation Oncology, Biology, Physics·Smith ApisarnthanaraxK S Clifford Chao

❮ Previous
Next ❯

Citations

Sep 15, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Nataliya KovalchukMinh T Truong
May 5, 2012·The British Journal of Radiology·S A BhideC M Nutting
Sep 29, 2011·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Robert SemrauRolf-Peter Müller
Feb 2, 2012·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·M N DumaH Geinitz
Jan 16, 2013·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·L DeantonioM Krengli
Jan 16, 2013·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·M LambrechtS Nuyts
Jun 16, 2012·Journal of Oncology·Upendra ParvathaneniJay J Liao
Apr 30, 2013·Radiation Oncology·Miguel Martínez CarrilloRosario Del Moral Ávila
Feb 6, 2010·Japanese Journal of Clinical Oncology·UNKNOWN Japan Clinical Oncology GroupMasahiro Hiraoka
Sep 28, 2013·Japanese Journal of Clinical Oncology·Mitsuhiko KawashimaRyuichi Hayashi
Jul 17, 2008·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·O BallivyF Guedea Edo
Aug 27, 2013·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·M LapeyreJ Biau
Apr 1, 2010·Indian Journal of Surgical Oncology·Gupta TejpalAshwini Budrukkar
Nov 17, 2015·Expert Review of Anticancer Therapy·Lucas Castro MendezGustavo Nader Marta
Jan 7, 2015·Acta Oncologica·Stéphanie Servagi-VernatVincent Grégoire
Nov 26, 2015·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Timothy CheoIvan Tham
Dec 30, 2014·Radiation Oncology·Anna MerlottiUNKNOWN Italian Association of Radiation Oncology
Nov 27, 2014·Radiation Oncology·Alysa FairchildWilfried Budach
Dec 18, 2013·Medical Dosimetry : Official Journal of the American Association of Medical Dosimetrists·Savino CillaAlessio G Morganti
Jun 4, 2013·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·S JaussaudA Féki
Apr 4, 2016·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Francesca De FeliceTeresa Guerrero Urbano
Aug 15, 2012·Clinical Oncology : a Journal of the Royal College of Radiologists·P J HoskinUNKNOWN Participants of the Lymphoma Radiotherapy Group
Jul 31, 2012·Medical Dosimetry : Official Journal of the American Association of Medical Dosimetrists·May TeohCatharine H Clark
May 18, 2012·Clinical Oncology : a Journal of the Royal College of Radiologists·R J D PrestwichA F Scarsbrook
Mar 16, 2012·International Journal of Radiation Oncology, Biology, Physics·Marciana Nona DumaHans Geinitz
Mar 6, 2012·International Journal of Radiation Oncology, Biology, Physics·Gozde YaziciGokhan Ozyigit
Sep 2, 2011·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·M LapeyreF Cachin
May 31, 2011·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Amira ShakamSunita Ghosh

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

© 2022 Meta ULC. All rights reserved