I initially had a CT scan, with contrast, for swollen lymph nodes, which showed suspicion about the same time I had a FNAB, which confirmed the cancerous lymph nodes, so a PET/CT scan was dine to help ascertain a primary in the head and neck, and that showed extensive cancer in BOT, tonsil, vallecula, three bilateral lymph nodes, but a pandendoscopy or triple scope, under anesthesia, confirmed T1 cancer only in the left tonsil, in addition too the two lymph nodes. No scan is 100% accurate or can prove cancer, only a biopsy can, even that is subject to errors.

A PET/CT should be considered for stage lll and lV oral and oropharyngeal cancer, according to NCCN Guidelines, but as said, they are guidelines, and doesn't consider other factors that may be involved.

I hope this helps.


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