Joy
I had laser surgery in 01 and 03 for severe dysplasia with a lot of watchful waiting in-between.
Because the cells where poorly differentiated the Head and Neck surgeon, (after a meeting of all the relevant people) went for a partially glossectomy and a flap replacement to my tongue and tonsillar pillar. No-one mentioned radiation, but I had total faith that their experience and the fact that the whole team had discussed my case and their combined experience was working for me.
So I think as Danny says YOU should not be asked to make the treatment decision, YOU are not the Doc I feel you should at the very least go back for some more advice. Now I have learnt that the system in the USA is different from the UK. Is where you are being treated a comprehensive head and neck center, if not can you get a further referral for a second opinion?
Hope this helps.
Sunshine ..love and hugs
Helen


SCC Base of tongue, (TISN0M0) laser surgery, 10/01 and 05/03 no clear margins. Radial free flap graft to tonsil pillar, partial glossectomy, left neck dissection 08/04