What is your approach for treating oligometastatic head and neck cancer in patients with a good performance status?

In patients with limited metastases and locally advanced head and neck cancer, we routinely offer definitive radiation therapy to the local disease, consider treatment of the metastatic site, and discuss addition of concurrent chemotherapy.

The majority of these patients will benefit from locally directed therapy to the sites of primary tumor and nodes as local progression can have detrimental effects on QOL. In a patient with a single lung met (we usually offer SBRT to obtain local control). T...