I had HDR-IORT..High Dose Rate Intraoperative Radiation Treatment in August, due to a recurrence, and having prior surgeries and radiation, which is a form of Brachytherapy, but instead of several, you get one high dose of radiation during surgery (10Gy-30Gy), which is more effective in some ways, and microscopic cancer. In mine, they resected the tumor, did HD-IORT 15Gy directly on the tumor bed while the neck is open during surgery, then performed a pec flap to the neck, so the neck could heal better, and bring new tissue to an area to get additional EBRT several weeks later to make it more effective. I then had 50Gy IMRT for 5 weeks, with Erbitux and Taxotere as radiosensitizers. Brachtherapy can be used with additional EBRT or not as a boost.

I had the same chemo regimine you are getting, and is called TPF Induction Chemo with Taxotere, Cisplatin, and 5-FU. 5 days of that chemo killed all my cancer..Tonsil, BOT, Vallecula, three bilateral nodes, but this is not permament, and if no other treatments are given, other than induction, the cancer will return in less than a year, so radiation and or surgery is needed in addition.

Good luck.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs