Path report from tongue resection came back today. Tumor was 1cm at it's biggest area. It was moderately differentiated and had penetrated to .45cm. It had also invaded a nerve. They got clear margins all around, but one was only .4cm. The other were 2cm, 2cm and 3cm. They also found some dysplasia at one margin. We are scheduled for a tumor board review next Thursday followed by selective neck dissection the next week unless recommendation is for radiation instead. I am very worried, but glad we are moving forward with this process.
Tracy - 33 at diagnosis SCC right ventral tongue Dx 4/11. T1N2M0 1st resection 5/11. Bilateral neck dissection: 2 pos nodes 2nd resection w/graft 6/11. Erbitux x 11 completed 9/11. IMRT x 30 completed 8/11. 3 month MRI and PET/CT all clear. 6, 9, 12 and 24 month post treatment MRIs all clear. |