Hi son of patient, i’m sorry for the delay as i got back home at 7pm, after a long day, but it was worth it since my PET/CT was free of cancer!

To answer your two questions:

1. All of my PNI recurrences was found after the resection found upon further analyses of the tumor biopsy, so it wasn’t known before or during my surgery. They were found by the pathologist later on. My doctor, a radiation oncologist, oversaw the head and neck cancer departments, and co-chaired head and neck surgery, who suggested the treatment plan for the PNI I agreed upon, twice. My first PNI started in one hospital, quite reputable, but my surgeon left the practice, and the treatment suggestions was kind of minimal, I thoight. I quickly interviewed several more places, and decided to go with one particular head and neck radiation oncologist, and his team, due to his reputation i had read about, and believe it was the best choise I made. I’m at another cancer now, but came with the my surgeon at my last hospital.

2. I hate to admit it, but i have debilitating side effects for 9 years, most from the Induction Chemo in 2009, but all the recurrences and treatments following added to my issues. I don’t think much about it now, initially i did, and accepted certain lifestlyle changes, and do what i can.

I hope this helps, and ask any time!

Paul


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