How would you approach synchronous early stage NSCLC adenocarcinoma and locally advanced symptomatic squamous head and neck cancer that is deemed nonresectable upfront?

Would you prioritize the head and neck cancer or treat the lung cancer first with SBRT to take care of it first? How about if there is mediastinal involvement of the NSCLC?

Answer from: Medical Oncologist at Community Practice

I would appropriately stage both cancers. If there is no mediastinal involvement, and head and neck is locally advanced- would favor local treatment of lung cancer (surgical or SBRT- expect quick recovery and no delays) while planning for concurrent chemo radiation to head and neck. Further d...

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How would you approach synchronous early stage NSCLC adenocarcinoma and locally advanced symptomatic squamous head and neck cancer that is deemed nonresectable upfront?

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