This all means what you think. First with perineurial invasion this is a dangerous thing. Most SCC cancers do not spread this way. ACC cancer is the one that does this with routine. It’s very dangerous. You can not image its spread by this method easily until it is well established, also not good. Invasion by this method is not best dealt with doing surgery. This is a radiation solution usually. That there is advanced dysplasia present means that cells that are transforming to malignant but not there yet are NOT in an early watch and wait stage, they need to be dealt with. It is no longer a question if it will become malignant, but how soon. It also is likely too early for a return of cancer, this is more likely disease that was not mitigated during the treatment. Recurrences are most common at around 18 months to two years. And the report says this there is cancer in the margin of the surgery… so did not get clean margins and all of the cancer. Sorry to say all this so bluntly. But you need facts you understand to make sound decisions from.

Medical professionals often talk to us like we are incapable of understanding things. Or they would like to dance around uncomfortable truths about the outcome of their treatment efforts. It is hard to translate all that into a realistic plan and move forward. B