What is your palliative radiation approach to larger volume locoregional head and neck SCC recurrences?

If there was no prior RT, for palliation-30 Gy/10 fractions or 20 Gy/2 fractions with 1 week interfraction interval.

If there was prior RT, for palliation-30 Gy/12 fractions

For reRT with curative intent-64.8 Gy at 1.2 Gy per twice daily fraction. ReRT the recurrence or second primary site with marg...

I use QUAD shot 3.7 BID x 2 days break repeat break repeat to 4440 or 5920 sometimes I dose paint 370/340 I treat all tumor, no size limit