Welcome, and sorry you had to join. I'm not as familiar with oral tongue as I am with oropharyngeal, which is my type cancer. You probably know more than I do, being a physician, but I wonder if an endoscopy was done with biopsy to the oropharynx being your cancer was HPV pos, and since 90 percent of HNC HPV is in the oropharynx, mainly the tonsil, and base of tongue, but can occur in the oral tongue. An analysis was done a few years back, checking medical reports, scans, recurrences and many showed were originally misdiagnosed as oral cancer or cancer was missed when the oropharynx was the primary.

I don't see many sentinel node biopsies, but may be the next best thing to do for HNC. Good luck, and hope someone here has some other advise.


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