Mr. Hatheway is an MSIII at the University of Pittsburgh School of Medicine, Pittsburgh, PA. Dr. Holt is a PGY1 in the Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City. Dr. Gebhardt is a PGY4 in the Department of Radiation Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA. Dr. Heron is director of radiation services at UPMC Cancer Center, chairman of the Department of Radiation Oncology, and professor of the Departments of Otolaryngology and Head and Neck Surgery at UPMC Shadyside, Pittsburgh, PA. Dr. Ohr is an assistant clinical professor of medicine at the University of Pittsburgh School of Medicine, Pittsburgh, PA. Dr. Ferris is chief of the Division of Head and Neck Surgery at the University of Pittsburgh School of Medicine Department of Radiation Oncology, Pittsburgh, PA. Dr. Clump is an attending radiation oncologist at University of Pittsburgh Cancer Institute (UPCI), Pittsburgh, PA.
CASE SUMMARY A 56-year-old woman with a 50-plus pack-year smoking history was diagnosed with stage…