I agree with Cheryl,

I had Perneural, Lymphovascular Invasion, and positve margins, which are microscopic cancer, after a few neck dissections, and additional surgery with intraoperative radiation (IORT), which are good for microscopic cancer, including brachytherapy that is similar, were recommended, in addition too, further IMRT, chemo/targeted therapy, Proton and chemo another time. I was told without such, there was a 70% chance of cancer recurring.

In 2011 I had microscopic cancer, after my first radical neck dissection, in my uninvolved neck muscle of all places, and my ENT recommended chemoradiation, which was not done by my medical and radiation oncologist, different than the above, due to my condition, did result in a recurrence 5 months later.

At one point I was even looking into being on maintenance Erbitux, and then Tarceva, for Chemoprevention, which my two oncologists said no to, but I see so many different trials these days one may qualify for or at least I try to keep up with, just in case.

Every patient and situation is different, and so are the CCC, the doctors and their experience, and I sought out ones I thought best, and woud treat me further.

Good luck with everything.