[quote=davidcpa]Cancer in the tongue has proven to be quite aggressive so if I were the patient and knowing what I have seen on this site I probably would lean towards additional surgery and then IMRT but as Christine points out ONLY your doctors are trained and in the best position to make their recommendations. My leaning towards the surgery would depend upon how much cancer is left because if I were told say "not much" then I would lean towards just the IMRT. I definatey don't agree with the above comment that radiation isn't as effective. In some initial treatments of this cancer radiation is the only recommended treatment. [/quote]

I know that doctors are the only ones that are in the best position to make recommendations. However, this forum has helped me understand all of this more than our first doctor and I love all of your opinions. They dont know how much would be left they just said he has a positive margin. The distance between the invasive carcinoma to the nearest margin was only 0.5 mm and thats what they are worried about. The second doctor did say that he believes the radiation will kill all of the cells. However, both doctors said they could not make a final final opinion until they received the slides from Beaumont Hospital.


22 YO Brother Dx 6/17/14 w. SCC R Lateral tongue
CT scan clear LN 6/20/14
HPV-, non-smoker
R tongue, right hemiglossectomy Surgery 6/24/14
(Not reoccurrence but went to NCCC instead
R neck dissection, tracheostomy, radial free flap, R tongue dissection surg 8/11/14
PT1N2B.3 positive lymph nodes out of 13
Extranodal extension present
9-15-14 IMRT (35x) & Cisplatin (2x) begun
10-21-14 peg in. 10-31-14 1 round of carboplatin
11-4-14 IMRT rx comp
3-27-15 Recurrent tumor in lymph node, L neck diss.
10-29-15 brother passed away, 23 yrs old