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This review article is trying to high light the current evidence to support the use of targeted therapy for the best management practices for patients with recurrent and/ or metastatic (R/M) head and neck squamous cell carcinoma (HNSCC).Platinum based chemotherapy is the cornerstone of palliation for patients with R/M HNSCC .Platinum doublets induce higher response rates at the cost of toxicity, but do not demonstrate a survival advantage.EGFR inhibitors, including monoclonal antibodies and tyrosine kinase inhibitors, have achieved only modest success in R/M HNSCC.Immunotherapy represents an attractive treatment strategy for R/M HNSCC, with promising preliminary results.Despite therapeutic advances, prognosis remains poor for patients with R/M HNSCC, illustrating the importance of identifying predictive biomarkers and finding ways to overcome mechanisms of resistance.
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Ramadas et al. (2018) studied this question.
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