Head + Neck
most lesions are _______ cell - ANS-squamous
what is the old school treatment technique for H&N? - ANS-3 fields (2 lats and 1
AP/sclav)
T/F?
lymph nodes are superficial + we give such high doses that skin reactions are pretty
severe for H+N? - ANS-true
treatment of lymph nodes in the H+N depend on (5) - ANS--site of primary
-extent of primary disease
-size of primary tumor
-cell type and differentiation
-nodal status
what is the standard energy used for H+N? - ANS-6 mv
what is the dose range for H+N? - ANS-5,000 cGy- 6,500/7,000 cGy
what is the typical fraction size for H+N each day - ANS-180-200 cGy
is RT alone common for H+N? - ANS-no
low risk prescription: - ANS--44-50 Gy (2.0 Gy/fraction)
-54-63 Gy (1.6-1.8 Gy/fraction)
T/F
H+N patients are prioritized to have Tx - ANS-true
regions of the pharynx (3) - ANS-nasopharynx
oropharynx
laryngopharynx
,mucous membrane lining the inner surface of the cheeks and lips: - ANS-buccal
mucosa
inferior nasopharyngeal margin - ANS-C2
oropharynx - ANS-C2-C3
epiglottis - ANS-C3
true vocal cords - ANS-C4
digestive tube, pyriform sinuses, postcricoid, lower posterior pharyngeal walls -
ANS-hypopharynx
nodal involvement dictates portal sizes - ANS-lymphatics
respiratory tube
zygomatic arch to EAM to mastoid tip
behind nasal cavities
above soft palate - ANS-nasopharynx
lips
gingiva
floor of mouth
tongue
buccal mucosa
hard palate - ANS-oral cavity
digestive tube
base of tongue
tonsils
soft palate
pharyngeal walls
tonsillar pillars
uvula - ANS-oropharynx
nasopharynx
oropharynx
hypopharynx - ANS-pharynx
, small triangular area behind wisdom teeth - ANS-retromolar trigone
parotid
sublingual
submandibular
facial paralysis
nerve pain - ANS-salivary glands
maxillary
ethmoid
sphenoid - ANS-paranasal sinuses
where is the submittal node located? - ANS-under the chin
what is another name for submandibular node?
where is the submandibular node found? - ANS-submaxillary
under/along body of mandible
what is another name for the internal jugular node?
where is the internal jugular node located?
where is its radiographic location - ANS-anterior/cervical jugular
medial to SCM, along carotid pulse, runs along jugular vein
anterior to vertebral body
what is another name for the spinal accessory node?
where is it located?
most lesions are _______ cell - ANS-squamous
what is the old school treatment technique for H&N? - ANS-3 fields (2 lats and 1
AP/sclav)
T/F?
lymph nodes are superficial + we give such high doses that skin reactions are pretty
severe for H+N? - ANS-true
treatment of lymph nodes in the H+N depend on (5) - ANS--site of primary
-extent of primary disease
-size of primary tumor
-cell type and differentiation
-nodal status
what is the standard energy used for H+N? - ANS-6 mv
what is the dose range for H+N? - ANS-5,000 cGy- 6,500/7,000 cGy
what is the typical fraction size for H+N each day - ANS-180-200 cGy
is RT alone common for H+N? - ANS-no
low risk prescription: - ANS--44-50 Gy (2.0 Gy/fraction)
-54-63 Gy (1.6-1.8 Gy/fraction)
T/F
H+N patients are prioritized to have Tx - ANS-true
regions of the pharynx (3) - ANS-nasopharynx
oropharynx
laryngopharynx
,mucous membrane lining the inner surface of the cheeks and lips: - ANS-buccal
mucosa
inferior nasopharyngeal margin - ANS-C2
oropharynx - ANS-C2-C3
epiglottis - ANS-C3
true vocal cords - ANS-C4
digestive tube, pyriform sinuses, postcricoid, lower posterior pharyngeal walls -
ANS-hypopharynx
nodal involvement dictates portal sizes - ANS-lymphatics
respiratory tube
zygomatic arch to EAM to mastoid tip
behind nasal cavities
above soft palate - ANS-nasopharynx
lips
gingiva
floor of mouth
tongue
buccal mucosa
hard palate - ANS-oral cavity
digestive tube
base of tongue
tonsils
soft palate
pharyngeal walls
tonsillar pillars
uvula - ANS-oropharynx
nasopharynx
oropharynx
hypopharynx - ANS-pharynx
, small triangular area behind wisdom teeth - ANS-retromolar trigone
parotid
sublingual
submandibular
facial paralysis
nerve pain - ANS-salivary glands
maxillary
ethmoid
sphenoid - ANS-paranasal sinuses
where is the submittal node located? - ANS-under the chin
what is another name for submandibular node?
where is the submandibular node found? - ANS-submaxillary
under/along body of mandible
what is another name for the internal jugular node?
where is the internal jugular node located?
where is its radiographic location - ANS-anterior/cervical jugular
medial to SCM, along carotid pulse, runs along jugular vein
anterior to vertebral body
what is another name for the spinal accessory node?
where is it located?
