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#88292 01-17-2009 05:41 PM | Joined: Oct 2008 Posts: 37 Contributing Member (25+ posts) | OP Contributing Member (25+ posts) Joined: Oct 2008 Posts: 37 | Can anyone tell me what the side effects of irradiation of the neck are like? Both short term and long term if you know.
I had a scc tumor removed from the right anterior portion of my tongue; on the side of the tongue. The pathology report is completely screwed up. Eight separate �specimens� were removed including some initially positive margins. According to intraoperative frozen section analysis, one specimen was 2.0 X 1.8 X 0.8 cm and tumor positive on one end and a second specimen was 3.5 X 2.0 X 0.3 cm, tumor positive all the way around and contiguous with the 0.8 cm deep tumor positive end of the first one. In the �final diagnosis� the pathologist makes no other comment other than (infiltrating scc, 0.9 cm in greatest dimension). My H and N doc has not recommended any treatment of the neck and no scans. So far I have been unable to get an explanation of the discrepancy from either the H and N doc or the pathologist.
According to every study I have found, an oral tongue cancer 8 mm deep and/or 3.5 cm long has at least a 50% chance of occult nodal spread. Unless I can get a satisfactory explanation as to why I shouldn�t be concerned; either by my current doc or by getting a second opinion on my slides, my next step is to shop for a center that will do the treatment I want. So I�m trying to get an idea of the pros and cons of elective neck dissection versus elective neck irradiation.
At first glance, the irradiation looks like less potential for a big time screw up and a way to get ALL the bad cells levels I � V, and in transit.
(ps: my tongue surgery was done at a highly ranked CCC, and any shopping will be at similar highly ranked CCCs)
Thanks!
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Entire Thread
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neck irradiation, side effects
| chemeng | 01-18-2009 12:41 AM |
Re: neck irradiation, side effects
| Steve J. | 01-18-2009 01:52 AM |
Re: neck irradiation, side effects
| Pete D | 01-18-2009 04:11 AM |
Re: neck irradiation, side effects
| chemeng | 01-21-2009 04:17 AM |
Re: neck irradiation, side effects
| Steve J. | 01-18-2009 04:24 AM |
Re: neck irradiation, side effects
| Mark | 01-18-2009 04:38 AM |
Re: neck irradiation, side effects
| Brian Hill | 01-18-2009 05:55 AM |
Re: neck irradiation, side effects
| chemeng | 01-21-2009 04:35 AM |
Re: neck irradiation, side effects
| Brian Hill | 01-21-2009 07:36 AM |
Re: neck irradiation, side effects
| chemeng | 02-03-2009 03:26 AM |
Re: neck irradiation, side effects
| Brian Hill | 02-03-2009 05:59 AM |
Re: neck irradiation, side effects
| chemeng | 02-04-2009 12:48 AM |
Re: neck irradiation, side effects
| Brian Hill | 02-04-2009 03:52 AM |
Re: neck irradiation, side effects
| Markus | 02-04-2009 07:25 AM |
Re: neck irradiation, side effects
| Claudia Nelson | 02-04-2009 11:01 AM |
Re: neck irradiation, side effects
| davidcpa | 02-04-2009 01:39 PM |
Re: neck irradiation, side effects
| chemeng | 02-06-2009 01:13 AM |
Re: neck irradiation, side effects
| chemeng | 01-21-2009 04:21 AM | |
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