How would you approach a small, node-negative (cT1-2N0) nasopharyngeal cancer in a patient with prior H&N cancer treated with surgery and radiation?

RT to primary and RP nodes. Positive nodes in previously irradiated neck likely 10% or less, so I’d observe neck.

RT to the primary, RP nodes, and previously UNirradiated neck, but avoid re-irradiation.

At our institution, we would make sure to get old radiation records and see what dose was received to the nodes that we would typically include for a nasopharynx case and make final decisions based on that. We w...

This was not an option in the question stem but just to note, there is now phase III randomized data that endoscopic resection carries a significant survival benefit compared to re-irradiation. I realize this question stem is probably talking about previous RT that may not have overlapped the primar...