NCCN has no standard for scans after your post treatment scan, usually around three months, minus any suspicions, and depends on the doctor and hospital in many cases. In fact, their guideline says only for T-3, T-4, in certain cancer like oral cancer.

A recent report, I posted here, says a physical, visual. palpable exam is just as good, although I read a report that PET/CT scan is better in detecting tumors, which can be detected as small as 5mm.

They do have standards for a physical exam the first year, 1-3 months, and spaces apart every year thereafter to five years. I get scanned every 6 months or sooner due to my risk of recurrence. The first two years has the highest risk of recurrence, and non HPV, the recurrence or failure rate levels off after two years. The oral cavity is more easily examined, as opposed to other HN cancers, and the best they say is the visual, palpable exam for this type cancer.

That's interesting Christine with NCI stamdard, I'll have to look at it, since it is a common topic, and I was going by NCCN guideline, but is just guideline. Thanks.

I hope this helps. and try to relax, Lisa.



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