Page 37 - Head and neck surgery
P. 37

ADJUVANT TREATMENT












                      Indications for radiotherapy include:



                      • AdvancedT-stage


                      • Close surgical margin


                      • Poor differentiation


                      • Perineural invasion


                      • Lympho-vascular permeation



                      • Presence of more than one lymph node metastasis on selective neck dissection specimen






                      Indications for concurrent chemoradiotherapy include:


                      • Positive resection margins


                      • Extra-capsular spread of tumour in cervical lymph node
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