Guidelines for Specific Anatomic Sites

Head and Neck (Extraorbital)

These tumors can be classified into two major clinical groups:

• Superficial sites: scalp, temporal region, facial structures, and neck

• Parameningeal sites: paranasal sinuses, nasopharynx, middle ear, and pterygopalatine fossa.

Table 20-8. IRS IV Recommendations for Therapy of Rhabdomyosarcoma and Undifferentiated Sarcoma in Childhood"^


TNM stage

Clinical group

Radiation therapy' (cGy)


Operative consideration/comments

Orbit and eyelid

Other head and neck (nonparameningeal)


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