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