Topics:
Head and Neck Cancers • Radiation Oncology
What is your approach for treating oligometastatic head and neck cancer to an adjacent nodal site (ie. axilla, mediastinum etc.) with radiation therapy?
Would you offer definitive chemoradiation and include the non-regional nodal level in your plan?
Answer from: Radiation Oncologist at Academic Institution
If limited chemo RT with curative intent.
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Answer from: Radiation Oncologist at Community Practice
If H&N disease is controlled, I consider several factors before treating with definite intent, including PS, duration of control of disease in H&N, number and location of oligomets, etc. I have successfully treated limited axillary metastasis with modified SBRT approach (45 Gy/5 Dx). Mediast...