2016_Head & Neck COURSE BOOK

Recurrent disease: diagnosis

- Pathology - HPV

YES

- Surgery: lung nodules - (Re)-Irradiation - Local salvage surgery

Amenable to curative treatment

NO

Systemic treatment

- Symptoms - Disease burden - Comorbidities and PS - Prognosis (HPV) - Patient wishes

NO

YES

Best supportive care Systemic treatment

Best supportive care

PS 0-1

PS 2

- Platin/5-FU/cetuximab - Clinical trial

Monotherapy

03/01/13