Everything is subject to change, and often doctors may not agree on evertyhing, and there are different types staging, restaging, from clinical, pathological and surgical. The surgeons sometimes don't know the extent of surgery until they get in there, and if they can't get it all without clear margins, is more extensive, they will take out what they can, and leave the rest for chemoradiation or radiation. The BOT has deep musculature, not just surface, contained like the tonsil, and removing a tumor from there can be debilitating. As mentioned, get a copy of your medical records for your own file. I'm surprised no chemo either, and only 33 rads, not 35, but depends on the delivery method, Gy, fractions too. As for IMRT, and the salivary glands, IMRT has dose painting, and can avoid that structure, and usually keep the dosage under 30Gy, usually around 26Gy, to the salivary glands, to protect it, anything higher may permanently destroy it being over its total toxicity level. Are both sides, bilaterally, being treated? That makes a difference too if one side is not treated with rads. With HPV it seems some are reducing chemo, radiation, but not everyone is.

Good luck.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs