To add, complicate matters further, chemo is sometimes used as "adjunct treatment", after radiation, Chemoradiation. How long, I'm not sure, maybe piggybacking on making radiation work better, as mop up for any microscopic cancer, which can't been seen by the eye, testing, only in pathology under the microscope. 1cm is small, but not microscopic, and to my understanding, radiation keeps working just as long as treatment lasted, like 6 weeks. One risk with adjunct chemo is "radiation recall." Some I know of are on Erbitux or Tarceva as maintenance chemo, mostly with distant mets, unresectsble tumors, but one of my oncologists was looking into it or me for "chemoprevention."

I had 35 IMRT, 70Gy, bilaterally, alone in 2011. My oncologist said my body would not be able to handle chemo then, a year after disastrous induction chemo. Radiation alone is being looked into, especially with HPV related HNC, which is different biology than tobacco/carcegenic related caused, but not all HPV related HNC are as favorable, a small group reacts like tobacco/carcegenic caused.


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