It's very hard, and, yes, the treatments we're collectively using are still primitive. FWIW it looks like I'm in a relatively promising clinical trial, and the

It's very hard, and, yes, the treatments we're collectively using are still primitive. FWIW it looks like I'm in a relatively promising clinical trial, and the primary treatment is likely to be less hard than surgery, radiation, and chemotherapy, but recurrent / metastatic head and neck squamous cell carcinoma (RN HNSCC) kills. It's conceivable but unlikely I'll somehow survive, but my understanding is that most people in the field think that it'll take some combination of treatments to make any substantial progress.