Oropharyngeal cancer: Indications for treatment of Neck

  • Neck can be treated surgically or with primary CRT
  • Clinically/radiologically N0 neck
    • Electively treat neck for all T-stages (other than very early/superficial lesions)
    • Tonsil, lateral oropharynx: Ipsilateral elective RT / SND Levels II – IV
    • Base of tongue, posterior oropharynx wall, soft palate: Bilateral elective RT / SND Levels II – IV
    • Convert to MND if suspicious nodes in neck at time of surgery (+/- frozen section)

Index: Clinical Practice Guidelines for Oropharyngeal Cancer

Resource Appropriate Oropharyngeal Cancer Guideline Scenarios