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• W1647320961 abstract "Abstract A 79-year-old woman underwent transoral robotic resection and selective dissection of the right side of the neck for a right tonsil squamous cell carcinoma, positive for human papillomavirus, final pathologic stage IVa, T2N2bM0. Given the finding of extracapsular extension, postoperative chemoradiation was recommended for the patient, and radiation was given via pencil-beam scanning proton therapy. During the course of radiation, regular evaluation computed tomography scans consistently revealed random variation in the position of large skinfolds in the posterior portion of the neck, which resulted in undercoverage of clinical targets. As a result, the decision was made to change the remainder of the patient's radiation therapy course to intensity-modulated photon radiation, which was less sensitive to the random variation of setup in the soft tissues of her neck. She remained disease free at the 20-month follow-up. This case illustrates the importance of routine evaluation of soft tissue anatomy..." @default.
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• W1647320961 date "2015-06-01" @default.
• W1647320961 modified "2023-10-18" @default.
• W1647320961 title "Potential Impact of Daily Setup Variation on Pencil-Beam Scanning for Head and Neck Cancer" @default.
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• W1647320961 doi "https://doi.org/10.14338/ijpt-15-00007.1" @default.
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