| Patient Information: (Do not provide name of the patient) |
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Age
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52 yo male, presented with hoarseness, cough, right neck mass
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Diagnosis
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High grade spindle cell sarcoma
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Imaging
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4 cm mass right centered just below carotid bifurcation. Common carotid artery encased by tumor.
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Stage
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T2 N0 M0 G3, stage IIIA
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| Overall Oncology Management Plan |
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Surgery (biopsy)
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Because of adherence to vessels and nerve, tumor removed piecemeal until margins appeared to be clear
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Chemotherapy (if given, what is the regimen)
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3 cycles of doxorubicin, ifosfamide, Mesna
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Radiation Therapy (fields, dose)
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70 Gy to tumor bed, including clips; levels II and III right neck
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| Radiation Treatment Plan |
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Treatment fields review
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Three dose levels – 70 Gy, 66 Gy, 54 Gy. This was done sequentially rather than SIB to keep 2 Gy per fx
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Dose/fractionation
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2 Gy x 27 fx = 54 Gy; boost 1 to 66 Gy; boost 2 to 70 Gy
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| Images |
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Session Name
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Head and Neck Specialist David Sher
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Session ID
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9550
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