I picked up my PET/CT report today. Overall it looks pretty good, but going to wait for my doctor's opinion's next week, before I do a happy dance self proclaiming myself being all clear. There are no signs of distant metastases, which is good, just some imaging concerns, some highlighted below:

Findings: "...there are patch regions of cutenous thickenng overlaying the flap reconstruction without discrete nodularity. On the corresponding functional images, there is mildly heterogenous metabolic activity especially seen deep to the reconstruction flap and adjacent surgical clips, maximum SUV range measuring up to 4.4. Anatomical evaluation of the deep margin is limited due to the lack of intravenous contrast and streak artifact from the surgical clip."

Impression: "....there is no obvious findings to suggest new sites of metastatic disease, however, the current CT imaging evaluation is limited due to the lack of intravenous contrast and PET imaging is limited due to presumed post surgical inflammatory changes especially along the deep margins. It would be expected that the current study serve as a baseline for future comparison.

Maybe I'll be sent for an MRI or rescanned in a few months? My last visit with my local oncologist suggested I would be a good candidate for Chemoprevention with Tervceva, erlotinib, and will ask the others doctors their opionion's on that. To be continued.


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