What is your approach for treating oligometastatic head and neck cancer to an adjacent nodal site (ie. axilla, mediastinum etc.) with radiation therapy?

If limited chemo RT with curative intent.

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). Mediastinal dis...