Hi Mark,

It seems about right after surgery. They would go to 72Gy, 7 weeks, without surgery or prior radiation, lesser in some trials. I had tonsil with lymph node (2) metasteses, but due to recurrences (6), i was able to do more treatments, radiation and surgeries, and now cancer free, which is more unusual than most.

They usually give the primary the highest radiation, and the effected lymph nodes, The other side and unenvolved nodes get lesser. I had bilateral also. Yours may be on the border to easily matestsizesize or large enough, and number wise where it can metastesise.

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