How would you treat a symptomatic tongue metastasis?   

It is a very broad question. Assuming wide spread mets from a subclavicular primary, I tend to favor standard palliative regimens, and in head and neck sites, I find a quad shot with potential for repeating 1 or 2 times if responsive, very appealing, especially in patients with poorer PS/poor progno...

Depends on what primary histology is, other Mets, rate of disease progression, if other treatments are available…there’s a lot to consider before deciding how to treat. So we need to know more. But, in general: if it’s isolated met, would think about SBRT using 35-40 Gy in five fr...