Selection of lymph node target volumes for definitive head and neck radiation therapy: a 2019 Update.

Details

Serval ID
serval:BIB_854EAEC1624C
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Selection of lymph node target volumes for definitive head and neck radiation therapy: a 2019 Update.
Journal
Radiotherapy and oncology
Author(s)
Biau J., Lapeyre M., Troussier I., Budach W., Giralt J., Grau C., Kazmierska J., Langendijk J.A., Ozsahin M., O'Sullivan B., Bourhis J., Grégoire V.
ISSN
1879-0887 (Electronic)
ISSN-L
0167-8140
Publication state
Published
Issued date
05/2019
Peer-reviewed
Oui
Volume
134
Pages
1-9
Language
english
Notes
Publication types: Journal Article ; Practice Guideline
Publication Status: ppublish
Abstract
In 2000, a panel of experts published a proposal for the selection of lymph node target volumes for definitive head and neck radiation therapy (Radiother Oncol, 2000; 56: 135-150). Hereunder, this selection is updated and extended to also cover primary sites not previously covered.
The lymphatic spread of head and neck cancers into neck lymph nodes was comprehensively reviewed based on radiological, surgical and pathological literature regarding both initial involvement and patterns of failure. Then a panel of worldwide head and neck radiotherapy experts agreed on a consensus for the selection of both high- and low-risk lymph node target volumes for the node negative and the node positive neck.
An updated selection of lymph node target volumes is reported for oral cavity, oropharynx, hypopharynx, larynx, nasopharynx, paranasal sinuses, nasal cavity and carcinoma of unknown primary as a function of the nodal staging (UICC 8th edition).
The selection of lymph node target volumes for head and neck cancers treated with IMRT/VMAT or other highly conformal techniques (e.g. proton therapy) requires a rigorous approach. This updated proposal of selection should help clinicians for the selection of lymph nodes target volumes and contribute to increase consistency.
Keywords
Head and Neck Neoplasms/pathology, Head and Neck Neoplasms/radiotherapy, Head and Neck Neoplasms/surgery, Humans, Lymph Nodes/pathology, Lymph Nodes/radiation effects, Lymphatic Metastasis, Radiotherapy Planning, Computer-Assisted/methods, Radiotherapy Planning, Computer-Assisted/standards, Radiotherapy, Adjuvant/methods, Radiotherapy, Adjuvant/standards, Squamous Cell Carcinoma of Head and Neck/pathology, Squamous Cell Carcinoma of Head and Neck/radiotherapy, Squamous Cell Carcinoma of Head and Neck/surgery, Definitive radiotherapy, Head and neck cancers, Lymph node target volumes, Selection
Pubmed
Web of science
Open Access
Yes
Create date
05/05/2019 14:20
Last modification date
05/04/2020 5:20
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