“…(Mehanna, Paleri, West, & Nutting, 2010;Torre et al, 2015) Epidemiological studies indicate SCCHN is increasingly common in patients aged <45 years, particularly in South-Eastern Asia and India, despite a global trend for declining incidence. (Annertz et al, 2002;Chitapanarux et al, 2006;Liu, Gao, Liang, & Tang, 2016;Shiboski, Schmidt, & Jordan, 2005) The majority of SCCHN cases are locally advanced on diagnosis, representing 60% of all patients. (Seiwert & Cohen, 2005) Such cases have a poor prognosis; after standard treatment with surgery and radiotherapy, 30% of resectable cases will have locoregional recurrence, with a 5-year survival rate of <40%.…”