OP  Contributing Member (25+ posts)
Joined: Dec 2013 Posts: 26 | Well I was lucky enough to get referred to Stanford Medical center for a visit with the head of the head/neck cancer program. The guy had 2 clinical days for the year left on his schedule and thank god I got in to see him today. My case actually stumped him a bit...tongue shifted over to the side of lesion and would only stick out to the side(possible hypoglossal nerve or muscle damage), not much of the lesion was visible on the top part of the tongue but it goes deep, deep enough for him to categorize it a T3 or T4 but no Node involvment and no metastasis. Basically, a very slow moving creeping Squamous that has worked it's way down my tongue like tree roots. He advised no surgery, but 30 IMRT treatments and 3 chemo rounds for precaution. No glossectomy. Can anyone please offer any feedback on this?
40 yr old male--very active, ns, rarely drink
T4aN0M0 HPV+
11/21/13--Lesion on back right of tongue, biopsy neg, CT neg
11/25/13--2nd biopsy DX SCC BOT
12/21/13--T4aN0M0 via PET and MRI scans
12/30/13--Begin Cetuximab/Rad Treatment
Treatment currently at Stanford Medical Center
2/14/14--Finished 36 rad treatments
2/18/14--Finished 8 cetuximab infusions-completion of treatment
4/26/2014--MRI showed marked tumor regression
5/27/2014--PET clear
8/18/2014--MRI clear
2/22/2015--MRI clear
| 
