Indications for Postoperative (Chemo)radiation Therapy with Glottic Cancer

Commenced within 6 weeks of surgery

Postoperative Radiotherapy

• Primary tumour bed
  • Through thyroid cartilage or into extralaryngeal soft tissues
  • Positive margin / close margins
  • Intraoperative tumour spillage
  • Preoperative tracheostomy through tumour
  • Subglottic tumour extension

• Neck
  • >1 metastases
  • Extracapsular spread (ECS)

• Postoperative chemoradiation
  • Positive margins
  • ECS

Index: Clinical Practice Guidelines for Glottic Cancer

Resource Appropriate Glottic Cancer Guideline Scenarios