How would you approach a patient with symptomatic anal cancer and oligometastatic lesion to the lung?

Systemic treatment is the standard approach for metastatic anal squamous cell cancer. Carboplatin plus paclitaxel or 5FU plus cisplatin are reasonable choices. Recently, the InterAACT trial (Rao et al. JCO 2020) involving 91 patients comparing carboplatin/paclitaxel to 5FU/cisplatin showed similar O...