Thanks KristenS ,

I can forget the idea of driving to a RAD session , then a Chemo-sesion

anyway, I had my 8-hour surgery. Most of the tongue got removed , and my tongue got re-constructed.

The surgeons said the surgery is a success. They archived clear margins. They removed the tumor and lymph nodes from the neck.

the lymph nodes from both sides were tested positive. The bad news is that my SCC is very aggressive. post-op analysis showed that the bad cells broke the capsules in lymph nodes.

Chemo-therapy is necessary for me now along with Radiation therapy.

I now have two tubes in my body PEG and Tracheotomy tube

I kind of like PEG

but I had problems after the surgery with breath /sleep. just after the surgery , my air-duct often got clogged by saliva / phlegm. It has to be manually cleared .

My long journey continues



T4aN2cM0 left tongue SCC 10/17
Moderately differentiated SCC
PEG, Trachy, glossectomy, en bloc neck dissection and reconstruction 11/17
Perineural invasion present
Radiation (IMRT) and Chemo ( 2xcispltn) completed 2/18
PET - NED 05/18
CT - NED 07/18, 10/18
CT - NED 02/19, 06/19
MRI H&N, X-ray chest - NED 10/19
MRI H&N NED 05/20
CT - NED 10/20
MRI - NED 04/21
CT - NED 10/21
CT - NED 4/22.10/22
CBCT - NED 10/22