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ELECTIVE IRRADIATION OF THE NECK LYMPHATICS FOR SQUAMOUS CELL CARCINOMAS OF THE NASOPHARYNX AND OROPHARYNX

DAVID S. BERGER M.D., GILBERT H. FLETCHER M.D., ROBERT D. LINDBERG M.D., and RICHARD H. JESSE Jr. M.D.1

1 Chief, Section of Head and Neck Surgery, Department of Surgery.

1. Eight of 469 patients (1.7 per cent) developed new nodal disease in an electively irradiated area.

2. Nineteen of 185 patients (10.2 per cent) with partial neck irradiation developed new nodal disease in a marginally irradiated or unirradiated area.

3. A tissue dose of 4,500 to 5,000 rads tumor dose in 5 weeks is proposed for the irradiation of elective areas. This dose produces no complications or even minor sequelae.

4. Whole neck irradiation is indicated for squamous cell carcinomas of the nasopharynx, tonsillar fossa, base of tongue, and N2 and N3 of the palatine arch.


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