Hi All,

From my readings of medical articles, extracapsular spread (i.e. cancer that has permeated the lymph node and invaded surrounding tissue) is major pronostic factor--however, I haven't not seen much discussion on ECS in these forums.

Fortunately, I was negative for ECS--and my treatment plan did not include chemotherapy. I had one positive node (3.2 cm).

I'm wondering if chemo is regularly administered with or without evidence of ECS? I understand that a lot of other variables (size of tumor, number of positive nodes, etc)come into play with the treatment plan.

Regards,

Oscar


Stage IVa SCCA, Rt Tonsil, neck dissection, 33x IMRT, One positive node (3.2 cm), no ECS.