paediatrics Brussels 17

Alveolar Head & Neck RMS and Nodal Failure: MD Anderson Experience

• 14 patients with alveolar head and neck RMS. Six of 14 had nodal disease at presentation • 6/8 (75%) regional nodal relapses occurred in patients with no evidence of nodal disease (N0) at presentation. • The other two nodal failures were in N+ neck. One had marginal failure and the other occurred in the neck when the entire region was not treated just the involved nodal area • Currently doing prophylactic nodal irradiation and including all stations at risk

Ludmir EB et al. ASTRO 2017