How would you approach a resectable and isolated ''in-field'' local recurrence of head and neck cancer detected mid-way through adjuvant radiation?
What if this recurrence is not resectable?
Answer from: Radiation Oncologist at Academic Institution
It's highly unlikely to be resectable. If you really believe there is a local recurrence during treatment, which I’ve seen less than 5-6 times per year, accelerate, add chemo if you haven’t; and if that doesn’t work, consider hospice. Surgery is not the answer.