How do you approach the treatment of synchronous primary pancreatic and base of tongue cancers?

There are probably many possible pathways here although none of them are ideal. If the patient has a BRCA 1/2 or PALB2 mutation, or even if not, they could start with Gemcitabine + cisplatin for the pancreas cancer which might have some activity against the base of tongue cancer. If there is a respo...