I woudn't say it was visible on the surface, but was palpable by me and the doctors from my last visit, a few weeks, so a CT was taken, and showed a metastases, which was to the epidermal layer of skin. The area removed in level V was about the size of a silver dollar on the skin, in addition too, the neck dissection incision, other cancer, I believe was in level lll, a pec flap to protect the carotid, have more radiation, IORT during surgery. Then Chemoradiation...IMRT, Erbitux and Taxotere, followed after 6 weeks healing.

My scan was clear 3 months post treatments, but had a recurrence 6 months later, so I had my carotid artery removed since it was now involved, IORT during surgery, followed by Proton Therapy and Chemo, Carboplatin.

I had clear scans three month, and 6 months after this last treatment. In addition too a head and Neck MRI, CT scan for unrelated procedures.


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