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This patient presented with a cT2N2c p16+ squamous cell carcinoma of the right base of the tongue. The patient was positioned supine with a C-frame headrest, knee sponge, and aquaplast mask for immobilization. The tumor volume boundaries included the right tonsillar pillar superiorly, just superior to the hyoid bone inferiorly, the right pharyngeal constrictor muscle posteriorly, and extending 1.5-2 cm anteriorly. Lymph nodes included levels I-V bilaterally. Treatment used VMAT with three arcs between 200-1

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