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. 2023 Aug 30;13:1257853. doi: 10.3389/fonc.2023.1257853

Table 1.

Issues to be discussed in head and neck MTB.

Tumor types Treatment setting Topics
SCCHN, resectable Curative setting Choice of upfront surgery or non-surgical treatment
LASCCHN Definitive RT or CRT Radiation dose, fraction, field
Alternatives to definitive CRT regimen in CDDP-ineligible patients
LASCCHN, high-risk stage II laryngeal cancer Definitive RT or CRT Choice of RT alone or CRT
LASCCHN ICT Indication and purpose of ICT
Alternatives to the ICT-TPF regimen
LASCCHN Post-definitive RT/CRT Diagnosis of post-definitive RT/CRT and its management
Indication for salvage surgery
LASCCHN, oral cancer Neoadjuvant chemotherapy Indication and purpose of neoadjuvant chemotherapy
LASCCHN, pharyngeal/laryngeal/oral cancer, and others Surgery and reconstruction Surgical technique—such as setting the resection margin and reconstruction
LASCCHN, nasal and paranasal sinus cancer Skull base surgery Surgical technique, operation workflow
Postoperative high-risk SCCHN Postoperative CRT Choice of RT alone or CRT
Alternatives to postoperative CRT regimen in CDDP-ineligible patients
Recurrent or metastatic disease Palliative pharmacotherapy Indication for pharmacotherapy
Treatment regimen
Indication for CGP test in rare cancer 
Palliative RT Indication for re-irradiation
Indication for stereotactic radiosurgery
Unresectable thyroid cancers Palliative pharmacotherapy Indication and timing of initiation of TKIs
Indication for CGP test
All Definitive and palliative setting Symptomatic management
Nutritional management
Management for acute and late treatment-related toxicities
Functional assessment
Psychological and socioeconomic issues

SCCHN, squamous cell carcinoma of the head and neck; LA, locally advanced; RT, radiotherapy; CRT, chemoradiotherapy; CDDP, cisplatin; ICT, induction chemotherapy; TPF, Docetaxel plus CDDP and 5-fluorouracil; CGP, comprehensive cancer genomic profiling; TKI, tyrosine kinase inhibitor.