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Oropharynx SCC (p16/HPV+) — Definitive Treatment
Oropharynx SCC
p16 / HPV +
Early
T0–2 N0–1
(single node ≤3 cm)
Resection + selective
neck dissection
Definitive RT
Clinical trial
Locally advanced
T1–2 N2–3 · T3–4 any N
Definitive concurrent
chemoRT (cisplatin)
TORS + neck dissection
± adjuvant
Adjuvant therapy
by pathologic risk
No adverse features
observe
Extranodal extension
± positive margin
chemoRT (cisplatin) or RT
Positive margin
re-resect or chemoRT
Other risk features
RT or chemoRT
Intermediate-risk (selected)
de-escalate RT to 50 Gy — ECOG 3311