2016_Head & Neck COURSE BOOK

5/30/16

Which CTV for the node positive and the post-operative neck?

EHNS-ESTRO H&N course Florence, June 2016

Recommendations for the node-positive neck

• In case of involvement of level II, delineation of the retrostyloid space (level VIIb) • In case of involvement of level IV and/or Vb, delineation of the subclavicular fossae (level IVb and/or Vc) • When a node is located at the boundary between two levels (e.g. level Ib and II), delineation of the two levels • When node(s) abut a muscle (e.g. SCM or para-spinal), delineation of the muscle by 10-20 mm in all directions

EHNS-ESTRO H&N course Florence, June 2016

Grégoire et al., 2006

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