Hon, EzJIM sadly passed away in may of this year. I send you a pm reply to your PM. In short my reply is much the same as everyone else here. IMRT is the standard. Brachytherapy is usually used in recurrences. Tell your brother to get treated at the CCC (karmanos) and do the radiation, I said much the same thing in my PM but with more explanation of why. Hugs and take care


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan