Thanks Paul for the info. It absolutely helps.

RO is suggesting to go for the deescalation in dose, but of course it is my decision.

You make an interesting comment on the 60-62Gy used for the cervical neck. Is that the standard total dosing for cervical lymph node tumors? It seems I am getting a total of 70Gy to the cervical neck lymph nodes, and this deescalation brings me down to 60Gy. It is possible that MKSCC or my RO uses 70Gy as a standard dose to both primary and secondary sites, while other centers use a lower dose to secondary cervical lymph nodes. Does anyone have more information on this?

Last edited by AndrewL; 03-14-2013 10:20 AM.
Andrew
age 25

early 10/12 - enlarged lymph node area
01/13 SCC of L tonsil, L BOT, 2 L lymph nodes
stage IVa, T2N2bM0, HPV+

2/13 2 doses cisplatin big bag, 2 doses weekly cisplatin + 35x IMRT
4/13 TX finished
7/13 PET/CT - NED!