I know I tend to go on a bit about this, but my brother, who is now 2+ years post treatment, hasn't had a scan since 3 months post treatment. He's had good visual/scope reports every three months, but how does the ENT know things aren't happening eg. in the lungs? I keep reading signatures with mention of scans every few months, but his ENT is anti the idea, saying the outcome would be the same regardless of the scan result (I'd ask questions at this point but I'm not in the consults and my brother would be too freaked to ask). Isn't it better to know if there is a metastasis sooner rather than later?

I think the NCCN guidelines say only scan as indicated, so why do so many of you have regular scans? I'm asking because he feels something is amiss - he's just back out work (in the last week or so), which is cause for celebration, but cancer never lets you let your breath out, I find, so just as things start looking up ....


Brother 49yo DX 22/6/11 Tonsil SCC HPV+ Stage IV T4N1(?)M0. Carbo/docetaxel (Taxotere)19/7, 11/8 (with E-tux), 1/9; E-tux 11/8, 25/8, 15/9, 30/9, 14/10, 28/10; IMRT X 35 (70gy tumour;63gy nodes;56gy gen area) 19/9-4/11/11. Clear PET scan 1/2/12. 1 and 2 year post treatment checks good.