Case 1:
88 yo with Gingival T1 squamous cell carcinoma who refused surgery due to age:
- oral cavity with primary radiation
- dental tray and mouth guards for scatter radiation from metal restoration for local regional control
- hypofractionation

Case 2:
62 yo R anterior tongue beginning with definite lymphovascular invasion, and perineural invasion is suspected. Post neck dissection with flap had 3 tooth extractions.
- bilateral neck dissection regarding CT displayed. Not clinically suspicious.
- extensive nerve pathways discussion utilizing patient's CT images
- size/caliber of nerve involvement
- submandibular sparing
- constrictor muscle
- retropharyngeal node
- ipsilateral
- nerve root exit
- post op MRI
- cavernous sinus soft tissue windowing for carotid artery
- landmarks to consider
- Atlas recommendations
Case 3:
77 yo recent recurrent maxilla (mod diff keratinizing SCC) with h/o of skin of nose with photon RT. New radical excision of R face, partial maxillectomy, and R suprahyoid neck dissection. Specifics of skin of nose procedure unknown. Superior border of mass abutted inferior wall of orbit.
- MRI images reviewed
- palliative vs. curative
- GSPN involvement
- colloquial dose
- Neuroradiologist consultation
- dose paint

Case 4
95 yo non-smoker with curative Stage 1 base of tongue.
- NRG trial with accelarated fractionated
- unitlateral vs bilateral
- nutrition
- chemo and renal function