"OCF Down Under" Senior Member (100+ posts) Joined: Sep 2012 Posts: 145 | Pretty much the same pathology report as my wife.
28mm in maximum diameter (T4a due to location) + 3 lymph nodes (all under 1cm) but with ECE. No PNI detected.
I would highly recommend Chemoradiation as ECE is one of the worst prognosis factors in Tongue cancer, and all studies indicate the most aggressive form of treatment is required to have the best chances of the cancer not coming back.
You are young (similar age to my wife) so you should be ok with both Chemo & Radiotherapy!
Hope that helps. Jay
6/8/12: Wife 33y/o with no risk dx with Stage IVa SCC L of Tongue(T4aN2bM0) 3/9/12: Induced birth @ 36 weeks - Baby Hunter! 11/9/12: OP - 3/4 Partial Gloss, Radical ND & Tongue Rec. 24/10/12: 33xRad + 7xChemo 7/12/12: Tx complete 21/3/13 & 21/6/13: NED 24/7/13: SCC in Lungs - OP: Lobectomy (VATS) 29/1/14 passed away
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