PMC3161639_01
Pretreatment MRI. Axial fast spin-echo T2-weighted image with fat saturation at the level of the primary tumor and upper neck.
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There were bilateral enlarged cervical (Fig. 1).
Isodose curves of an inverse IMRT plan displayed on the axial plane at the level of the oral cavity.
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Radiation was delivered with a seven-field, dose painting, split field IMRT plan with primarily posterior beams (Fig. 2).
Phorograph at the start of week of six of treatment, just prior to receiving a treatment break.
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In the oral cavity, there were confluent ulcerations with bleeding (Fig. 3) consistent with grade 4 dermatitis and mucositis.
Photograph at the first followup visit five weeks after completion of treatment.
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Her lips and perioral skin were completely healed (Fig. 4).
Photograph of the oral cavity at the first followup visit five weeks after completion of treatment. The right oral tongue is adhered to the right buccal mucosa.
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On inspection of the oral cavity, the right side of the tongue was adhered to the right buccal mucosa (Fig. 5).