How are you approaching head and neck re-irradiation cases if the recurrent cancer has been resected but with high risk features such as ECE etc.?  

These are challenging situations with no correct answer.I assume we are talking about squamous cell ca and not other histologies.There is one randomized study from Europe addressing salvage surgery and re-RT vs observation. The study was conducted from 1999-2005 so much of the RT techniques and deli...