I recently underwent a partial glossectomy with a modified radical neck dissection, mainly because of the perception that the tumor was between T2 and T3. The pathology came back staged as T2N0M0 with margins negative by at lease 5 mm. I understand the need to be aggressive, which we already have been, but now they are recommending post-operative radiation, based on the depth, perineural and angiolymphatic invasion. I would generally not deny treatment options, but I'm concerned about the complications. I do have a PEG, which I can probably keep through the radiation treatments. But is this overkill?


34 yo male
Partial left glossectomy and mod rad neck 7/19/10
Path report T2N0M0, depth >5mm, +PNI, +LVI, margins - (>5mm)