i had a similar procedure--robotic removal of primary BOT and modified neck dissection to remove lymph node may 10 2013---my margins were clear and only one node had cancer and no extracapsulary extension---nonetheless radiation was recommended---i finished rads on august 7 ---worked full time as lawyer for all but last week of radiation and two weeks thereafter---checkup every 3 months and cancer free for 6 months now--some lingering dry mouth and taste issues from rads otherwise back to normal--i decided on radiation because i am otherwise healthy and wanted to fight when i was strong--don't let employment drive your decision--there are always jobs--good luck
T - 55 yrs old BOT - right lymph node T1N2AM0, Stage 4, SCC HPV+ Diagnosed: 4/23/13 Surgery 5/10/13, ND, BOT lesion removed Pathology report: 23 nodes taken, no cancer; clear margins; no extracap Treatment recomm: Radiation only - 30 sessions, lower dose of 60gy to start in approx a week.
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