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. 2011 Apr;84(1000):367–374. doi: 10.1259/bjr/67058055

Table 3. Treatment options and radiotherapy dose in relation to stage and primary tumour site.

n Primary site St I St II St III St IV St X n × radiation dose (Gy)/n of fractions (reason of protocol violation)
Definitive IMRT (48 patients)
6 Oral cavity 1 3 2 6 × 70/35
15 Oropharynx 2 6 3 4 1 × 44/22 (toxic megacolon), 4 × 66/30, 2 × 66/33 (T1N0), 8 × 70/35
12 Nasopharynx 1 1 10 1 × 62/31 (patient refusal), 1 × 66/33 (T1N0), 2 × 68/34, 8 × 70/35
3 Hypopharynx 3 1 × 66/30, 2 × 70/35
6 Larynx 1 4 1 1 × 50/25 (prior supraclavicular RT), 3 × 66/33, 2 × 70/35
4 Sinus 1 3 1 × 50/25 (pre-operative), 1 × 60/30, 2 × 70/35
2 1 nose, 1 CUP 1 1 2 × 70/35
Post-operative IMRT (30 patients)
13 Oral cavity 2 3 3 5 2 × 60/30, 11 × 66/33
6 Oropharynx 2 2 2 1 × 60/30, 1 × 66/33, 1 × 68/34 (pos SM), 3 × 70/35 (pos SM)
1 Nasopharynx 1 1 × 70/35 (after adenoidectomy)
1 Larynx 1 1 × 56/28 (prior RT for lymphoma)
1 Sinus 3 3 × 66/33
6 Salivary gland 2 2 2 1 × 18/9 (intercurrent death), 3 × 66/33, 1 × 68/34 (pos SM), 1 × 70/35 (pos SM)
2 1 CUP, 1 EAC 1 1 1 × 60/30, 1 × 66/33

St, stage; CUP, carcinoma of unknown primary; EAC, external auditory canal; IMRT, intensity-modulated radiotherapy; pos SM, positive resection margins; RT, radiotherapy.