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Treatment of the Clinical N1 Neck Observation Failure expected in 30 Close follow-up is needed A suboptimal choice Negative nodes or single discrete nodal metastasis without extracapsular spread No further treatment Single node with extracapsular extension or multiple positive nodes Nodal metastases found and confirmed intraoperatively, outside field of SOHND Modified radical neck dissection Supraomohyoid dissection can assess presence of occult nodes, helps determine need for additional therapy Positive nodes can be expected in 3040 of patients at diagnosis, neck dissection is routine for these patients and helps to identify who will need to receive radiation Bilateral neck Irradiation L.
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