Radiation techniques can vary and guidelines can be found in the NCCN Clinical Practice Guidelines for H&N cancer.

A copy of the 2009 guidelines can be found on the OCF site at http://www.oralcancerfoundation.org/treatment/pdf/head-and-neck.pdf

An updated 2010 copy can be found on the NCCN site (google NCCN Guidelines).

Conventional fractionation for concurrent chemo-radiation is 70gy to the primary tumor/tumor-bed and involved nodes in 2.0gy daily fractions and 44-64gy to the uninvolved nodes that may be known drainage nodes for the primary, or are located nearby (and/or suspect occult area) in 1.6-2.0gy daily fractions.

OCF will have the new 2010 guidelines up on thee links by Monday. We just received the 2010 changes from NCCN who we have a formal agreement with. BH

Last edited by Brian Hill; 04-29-2010 02:21 PM. Reason: Updated Guidelines
Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11