OP Contributing Member (25+ posts) Joined: Oct 2017 Posts: 36 Likes: 2 | Hi PaulB and Christine
We met with the RAD expert after PET-CT scan
The good news is that no other body parts are affected except the primary tongue tumor, one big left lymph node, and 2 right lymph nodes
They will continue their original treatment plan
Definitely I will have the neck dissection to remove those lymph nodes with the surgery
In my CT scan 3 weeks earlier, only one left lymph was showing positive. In just 2~ 3 weeks, MRI and PET-CT detected right lymph nodes not good either
The radiation doctor says VMAT , Volumetric modulated arc therapy which is the best, will be used on me
Thanks again for all your kind advice
T4aN2cM0 left tongue SCC 10/17 Moderately differentiated SCC PEG, Trachy, glossectomy, en bloc neck dissection and reconstruction 11/17 Perineural invasion present Radiation (IMRT) and Chemo ( 2xcispltn) completed 2/18 PET - NED 05/18 CT - NED 07/18, 10/18 CT - NED 02/19, 06/19 MRI H&N, X-ray chest - NED 10/19 MRI H&N NED 05/20 CT - NED 10/20 MRI - NED 04/21 CT - NED 10/21 CT - NED 4/22.10/22 CBCT - NED 10/22
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