In a patient with history of early stage oral cavity cancer and a new ipsilateral neck failure, would you treat the initial site of disease?

At MDA we have for many years followed a guideline for the unirradiated patient with a metachronous neck recurrence from the oral cavity. I say guideline as we have not had ridgid adherence.

Our guideline has been 1 year between the initial disease and the recurrence. If less than a year, we treat a...