04/28/2025 - Dr. David Sher - Radiation Oncology - Head & Neck
Chartrounds US - Head and Neck Cancer
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55m
General Topics
Head and neck cancer
Oropharyngeal cancer
HPV-associated squamous cell carcinoma
Basal cell carcinoma
Post-operative radiation
Recurrent skin cancer
Tumor staging (T3 N2, AJCC)
Carcinoma with extranodal extension
PET/CT imaging
Radiation oncology case discussion
Radiation treatment planning
Radiation Planning / Technical
Dose levels: 70 Gy, 66 Gy, 59.4 Gy, 56 Gy
Simultaneous Integrated Boost (SIB)
Sequential boost technique
CTV (Clinical Target Volume)
PTV (Planning Target Volume)
MTV (Metabolic Tumor Volume)
Bolus use in radiation therapy
Treating parotid region
Ipsilateral neck radiation
Sparing oral cavity
Elective neck irradiation
Replanning after tumor shrinkage
Volume reduction strategies
PET avidity analysis
Attenuation corrected vs non-attenuation corrected PET
Level 1B, 2A, 3, 4, 5 lymph node levels
Extra nodal extension (ENE)
Perineural invasion (PNI)
Parapharyngeal space involvement
Patient Management / Clinical Decision-Making
Non-surgical candidate
Concurrent chemoradiation
Tumor response to radiation
Importance of replanning during treatment
Surgical margins and recurrence
Immunotherapy considerations (e.g. Cemiplimab)
Differentiating squamous vs basal cell carcinoma
Management of metastatic lung nodule
Multidisciplinary tumor board input
Importance of MR for skull base involvement
Case-Specific Details
Right tonsillar mass
Bilateral nodal involvement
Right parotid lesion
Occipital neck skin recurrence
Skin cancer invading parotid
General surgeon as patient
Use of bite block or oral stent in simulation
VCU Tumor Board
SABR (Stereotactic Ablative Radiotherapy) for lung nodule
Post-operative adjuvant treatment
Treating scars with bolus
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