These are viable options, and a few here had a tonsillectomy, a neck dissection for tonsil cancer with Chemoradiation or just radiation alone to follow, some do surgery alone, and radiation alone, and many more with just Chemoradiation, with surgery as a last resort. It depends on other factors too, TNM grading, if nodes are involved, the number, where in the chain, negative prognostic factors, histology, tumor size, thickness, depth, where located, other structures involved, if HPV related, doctors experience, patients request, patients medical condition, etc.

Things change from each doctor visit, test, surgery, as more information is obtained from each. I wasn't having more radiation per my doctors fellow after my recent surgery, radiation, my ENT didn't say anything, and two days later my RO says I'm getting more radiation, and chemo, which even before surgery the MO said chemo wasn't an option, so I guess they strategies are subject to change. I had radiation planned one time, CT simulation, another mark made, and two days before starting the radiation oncologist called and decided she did not want to give me more radiation do to my max in an area, brachial plexus nerve, after speaking with the pathologist, ENT. She said once it's given it can't be taken back, and would rather wait.

Be prepared things moving fast, then hurry up and wait, and plans being changed. Good luck with everything, and in your decisions.


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