Abstract
The efficacy of chest X-ray examination performed in search of lung metastasis after the first treatment for head and neck cancer was evaluated. Even lung metastasis or primary lung cancer was discovered by chest X-ray examination, the prognosis was poor and the prolongation of survival time by operation or radiation therapy was not clearly demonstrated. Reconsideration of chest X-ray examination is needed. Regarding treatment, it is important to consider the QOL of the patients, and use of techniques such as an outpatient chemotherapy.