Postoperative Radiotherapy (PORT) for SCC of the Tongue

  • PORT has been advocated for:
    • Positive margins
    • Multiple cervical nodes
    • Extracapsular spread in the neck
    • Stage III / IV disease
    • Perineural spread
    • Tumors thicker than 9 mm to 10 mm even in the absence of other features
  • Based on involved margins, ECS of cervical nodes or multiple positive nodes:
    • 62% of patients receiving surgery as the primary treatment modality may require PORT
  • Local failure following PORT to tongue tumors has been demonstrated to be higher than comparable floor of mouth tumors:
    • Leading some to suggest higher doses of PORT should be considered for tongue tumors
#Arrangoiz #CancerSurgeon #SurgicalOncologist #HeadandNeckSurgeon #SCC #MountSinaiMedicalCenter #MSMC #Miami #Mexico

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