Hi Gayathri,

Sorry you had to be here. Your father has Laryngeal cancer and smoking is the most important risk factor. As Christine mentioned, your father must quit smoking and I wonder after going through 60Gy radiation, he still has courage to continue smoking! Go through this link for more understanding: http://www.cancer.gov/cancertopics/pdq/treatment/laryngeal/Patient

Anyways, CT scan after 1.5 months is not very conclusive as body needs some time to heal and the hotspots may be immflamation from radiation. Endoscopy will also be too inconclusive if something suspicious comes up and would require biopsy.

Are your surgeon and radition oncologist from two different hospitals? My honest suggestion here is while you are undergoing treatment, you should not go second opinions, especially in India. Better to have it before.

As your radiation oncologist suggested, it is not in practise here for any surgical intervention before completion of 3 months of radiotherapy as healing is difficult.

Discuss out with your oncologist any other choices you have including ultrasound-guided-FNAC of the necrotic lymphnode.

Wish you and your father good luck.