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A nationwide, multicenter retrospective study examined 563 patients receiving intensity-modulated radiation therapy at 22 facilities from 2015 to 2020. The median age of the sample was 48 years, with a range of 9 to 83. The distribution of ages was bimodal. Seventy-four point one percent of the subjects were male, and seventy-eight point seven percent exhibited stage III-IVA. The prevalence of keratinizing car