As suggested, I would see about a 2nd or 3rd opinion. You may want to look into High Dose Intraopertive Radiadion Therapy (HD-IORT), Brachtherapy, Radiosurgery aka Cyberknife. These are high dose radiation treatments in less time, to specified areas, while certain vital organs or structures are protected. Not all CCC will tell you all the options available or send you elsewhere. I had 5 recurrences. I had positive margins, LVI, PNI, after my 2nd neck dissection, and cancer did return as expected, but in a month. The next treatment I had, for a cure, was a neck dissection, my 3rd, along with HD-IORT during surgery, with a pec flap, so radiation could be done a 3rd time, along with chemoradiation for 5 weeks. In total, I had 130Gy of radiation, and some here about the same or even more. Reirridation is limited to the toxicity level of vital structures, but can be done in ways described above, and this is where the doctors experience, and training comes into play.

Good luck, and hope this helps.


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