Davi,

I also had clean margins and no evidence of any spread to surrounding nodes after a partial glossectomy and neck dissection. The head and neck team at the surgical center that was treating me felt strongly that I needed to go ahead with radiation, and I believe it was at least somewhat related to the fact that the tumor was poorly differentiated, which can indicate that the tumor cells tend to move aggressively. As Ed mentioned, some of these cells may not be detectable by a scan.

I agree with Ed that it may make sense to get a second opinion from a different team, although they may come to the same conclusion as the first.

Cathy