Iam 76 years old known Type II diabetic with nephropathy & mild hypertension. Current medication, Iam taking is - Insulin, Glimipride, Clopidrogl & dilzem. I underwent polypectomy 3 & half years back. Histopathology & PETscan showed adinoid with slight bony erosion. 2 months later, I underwent partial maxillectomy. Biopsy of bone has shown no malignancy. Currently there is recurrence of Polyp from the same site. It is about 2.5 X 2.75
PETscan revealed no metastaysis, no bony erosion & no Lymphnode involvement. Biopsy report revealed adinoid carcinoma, high grade.
What is the current modality of treatment? Please suggest.