This question is worded in a confusing way.  As I understand it, the scenario relates to a patient with both local and distant disease who is treated with chemotherapy and has a clinical complete response at the primary site.  The question then is whether to add RT to the primary site. We...

If a patient presents with disseminated disease both locally and distantly, I might consider a short course of radiation to the local area of disease in the head and neck, in particular if there is concern for compromise to the airway or for uncontrollable pain, etc.  Following radiation, palli...