1. Sounds like Perineural Invasion, PNI, or other negative prognostic factor for recurrence or tumor spread. Being its micro, more surgery may not get it all, can't be seen or is adequate enough, so radiation can to a broader area.

2. The only thing I heard is doing light chemo. Meaning a small dosage to cause less toxicities, one that is not that toxic compared to others and or a targeted therapy, all which may be used as a radio-sensitizer to make radiation work better. I had so called light dose chemo, taxotere, Carboplatin, and Erbitux, a targeted therapy, at its usual dosage. No matter what they call it, all have some type of side effect.

3. A 2nd opinion is always good, but treatment shouldn't be delayed too long. They usually like to keep the total treatment package, including surgery, less than 100 days. I'm not familiar with the hospital.

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