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03/01/13
Recurrent disease:
diagnosis
Amenable to curative
treatment
- Pathology
- HPV
YES
NO
- Surgery: lung nodules
- (Re)-Irradiation
- Local salvage surgery
- Symptoms
- Disease burden
- Comorbidities and PS
- Prognosis (HPV)
- Patient wishes
Systemic treatment
NO
YES
Best supportive care
Best supportive care
Systemic treatment
- Platin/5-FU/cetuximab
- Clinical trial
Monotherapy
PS 0-1
PS 2