Problem 4.1

Mr. R is a 58 year old with a recently diagnosed nasopharyngeal cancer. He has a 40 pack per year history of cigarette smoking and admits to a "moderate" intake of alcohol. He is scheduled to undergo a course of radiotherapy and is being simulated now.

Question 4.1

Prior to his beginning his radiation treatments, what should be done? (Choose all answers you feel are correct.)

	Be examined by a dentist to determine if there are significant oral problems which require correction prior to radiotherapy;
	Have all teeth within the radiation ports that will receive greater than 50 Gy of radiation extracted prior to radiotherapy;
	Have non-restorable teeth within the radiation ports extracted and other dental problems stabilized; or
	Modify ports and radiation delivery to minimize exposure of the salivary glands.

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