There is no general consensus as far as post treatment scan goes, minus any absence of a suspicion for a recurrence. NCCCN guidelines recommends a 3-6 month post treatment scan only for T3-T4 disease in the oropharynx, and a few other areas, and nothing after that. Some doctors feel the palpable, visible, mirror, and scope are good enough, while others follow a more scheduled scanning, maybe based on other professional societies like otololaryncology, and have PET/CT scans around three months post treatment, followed by 6 months, and never made it past that before a recurrence, but would think the time would be greater thereafter as time goest by. Other studies showed that a PET/CT is better than a physical exam in finding cancer, and was my case this last recurrence since I have a pec flap, extensive surgery, and radiation, and it detected recurrent cancer as small as 3x7mm,, but major surgery was still needed. I believe the quote in the article was scanning was 26% , if not more, accurate.

Good luck with everything.


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