Jaspar, What is the size of the node, is it palpable? original TN stage? Studies show there is better outcome with a planned neck dissection than a "wait and see approach." Some do it anyway, regardless or when there are signs of an incomplete response, such as a palpable node, scan. On another note, most scans are clear at three months, and could be reactive. Personally, I would rather do a neck dissection, although the choice is yours, a lot can happen in three months. There are risks with any surgery, and the neck is a complicated area with major body functions involved, but the ENT's make it seem easy, plus their experience counts.

Good luck with your decision.


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