The longer the time distance is from the completion of radiation treatment the more of a chance reirridation would be considered is just one aspect for its consideration. I heard of a minimum of 6 months to a year, somewhere along my travels. Although, boost dose Brachtherapy may be given after external beam radiation, in certain cases, a short time thereafter, like a week, in places trained in this procedure.

Surgery is often the first line treatment for a recurrence, with or without radiation, addition of chemo, if not, palliative chemo, targeted therapy, for the time being, as mentioned.

See about a 2nd opinion, and 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