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Table 16 Guidelines for contouring neck levels (positive on imaging)

From: Technical guidelines for head and neck cancer IMRT on behalf of the Italian association of radiation oncology - head and neck working group

Laryngeal Site

TN stage

Levels to be included in CTV 2

Levels to be included in CTV 3

Remarks

Supraglottic

T1-2- N+

II-III (bil)

IV bilat, V (on the side of positive neck)

 

Glottis

T2 N+

II-III (bil)

IV bilat, V (on the side of positive neck)

 

Subglottic

T1-2 N+

III-IV (bil)

V (on the side of positive neck),

 

VII

Glottis/

T3-4 N+

II-IV (bil)

IIb if IIa positive, VI,

 

Supraglottic/

V (on the side of positive neck),

Subglottic

IB only on the side level II is pos*,

VII only if subGL ext

RP only if ext to pharynx