Cancer in the tongue has proven to be quite aggressive so if I were the patient and knowing what I have seen on this site I probably would lean towards additional surgery and then IMRT but as Christine points out ONLY your doctors are trained and in the best position to make their recommendations. My leaning towards the surgery would depend upon how much cancer is left because if I were told say "not much" then I would lean towards just the IMRT. I definatey don't agree with the above comment that radiation isn't as effective. In some initial treatments of this cancer radiation is the only recommended treatment.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.