Livandridge,
I’m hoping you’ve made a decision already as this post was made 8/29 and it’s 9/2!
I’ve had perineurial invasion found in the surgical biopsy a number of times! Each case, it was recommended resurgery and or radiation and possibly chemo.
I went for interview at other top hospitals on nyc, and found my match at a different hospital I had no loyalty too as my ENY was leaving too! I chose a radiation oncologist who headed the head and neck cancer programs at their main and sister hospitals. He came up with IORT for me, which he helped develop, it was surgery with internal radiation during the procedure followed by chemo and radiation six weeks later.
I had a recurrence almost a year latter! This time my doctor wanted the IORT again, but this time I did Proton Radiation with chemo after surgery with radiation! That has left me cancer free since then and passed my 5 year mark!
This is just an example of my case as all ate different, but the doctors were willing not to give up on me! I hope the same for you!!