I haven't had a lot of luck with "oligometastatic" head and neck cancers.
Oligmetastatic EGFR+ lung? Hell yes
Oligometastatic Merkel? Yes
Oligometastatic endometrial where its climbing the RP nodal ladder and popping up in mediastinum or lung? yes
Oligometastatic colorectal? yes
Oligometastatic prostate? of course, particularly if hormone sensitive or newly refractory
But when head and neck mets out, I don't know. Those rare p16 positive OP cancers with bone mets? watch out, can kill quickly once metastatic. Those OC cancers? Good lord. They will fail everywhere and return and progress in your radiated neck as well.
Best luck I've had with oligometastatic H&N is with paranasal sinus tumors. Had several live for years.
But, dying of local disease in H&N is the worst. So I'm not dissing fairly aggressive local treatment.