Chapter 17

Palliative Radiotherapy for Advanced and Metastatic Head and Neck Cancers and Skin Metastases

T.J. Wilhite1 and J.D. Schoenfeld2,    1Mayo Clinic, Rochester, MN, United States,    2Dana-Farber Cancer Institute, Boston, MA, United States


This chapter outlines a practical approach to palliative radiotherapy in the patient with advanced cancer involving the head and neck region and overlying skin, including primary tumors of the head and neck. Evaluation begins with a thorough history and physical examination aimed at identifying and characterizing tumor burden, acute concerns like airway patency, pain, and symptomatic impairments, such as dysphagia. Goals of care are determined with the patient based on realistic near- and long-term ...

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