Update and questions.

We just returned from the Doctor who had the final pathology from the biopsy taken Tuesday. The final diagnosis is Poorly Differentiated Spindle Cell Carcinoma with a BOT Primary. T2N2bM0 to be exact.

Treatment recommendation: Removal of lesion through the side of the throat and a left side neck dissection followed by concurrent radiation and chemotherapy.

They want to put a tracheotomy and PEG in as well.

We are seeking a second opinion from MD Anderson as this recommendation is coming from our local ENT Cancer specialist. He is highly qualified and competent, but something this serious needs a second look.

What is the difference is between poorly differentiated and well differentiated?

Does anyone on the board have any words of wisdom to help me at this stage?

Any input is appreciated.

Thanks,

Scott