A 74 year old male , a known case of CA oropharynx received Radical XRT( dose to PTV66[66Gy/30#/6weeks], PTV60[60Gy/30#/6week], PTV54[54Gy/30#/6weeks]) last on September 2015. Now he presented with local recurrence with FNAC proven metastatic Neck node.

What are the treatment options available and what should be done in this patient?