How would you approach a patient with simultaneously diagnosed stage IVA SCC of the head and neck and limited stage small cell lung cancer (neither is symptomatic)?

The treatment option with ES-SCLC may be slightly more clear since the patient has incurable disease and will succumb to their lung disease. I would start chemotherapy and keep an eye on the H&N cancer and offer palliation as needed including a QUAD shot (depending on the size of the primary and sym...