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Table 6 Guidelines for contouring neck levels [57]

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

 

cNo

Ipsilateral N+

Comment

Tongue

Bilateral I-IV

V if N2-3

Excluding IIb

Floor of mouth (well lateralized)

Bilateral I-III

IV and V if N2-3

Excluding IIb

Hard palate

Bilateral Ib, IIa, III, RP

Add bilateral Ia, IV, V if N2-3

Excluding IIb

Upper retromolar trigone

Bilateral Ib, IIa, III, RP, ipsilateral Ia

Add contralateral Ia, bilateral IV and V

Excluding IIb

Lower retromolar trigone

Ipsilateral I, II, III

Add ipsilateral IV, V

Excluding IIb

Buccal mucosa

Ipsilateral Ib, IIa, III

Add ipsilateral Ia, bilateral IV and V

Excluding IIb