How would you treat a head and neck patient who had definitive chemoradiation who develops an isolated mediastinal lymph node recurrence?

Do you offer definitive treatment?

Systemic therapy alone since it's metastatic?

Answer from: Radiation Oncologist at Academic Institution

45 Gy/25 fx to mediastinum and boost to positive node to 65 to 70 Gy.

Comments

Radiation Oncologist at Karmanos Cancer Institute - McLaren Proton Therapy Center
I agree with Dr. @William M. Mendenhall, treat for...