How would you treat a patient with head and neck squamous cell carcinoma and adverse features with borderline renal function in the adjuvant setting?   

Which of the systemic options would you give concurrently with radiation therapy in the adjuvant setting? According to NCCN guidelines, high dose cisplatin is preferred, but weekly cisplatin 40mg/m2, cetuximab, carboplatin + 5-FU, and carboplatin + paclitaxel are also options.

 



Answer from: Medical Oncologist at Academic Institution