Radiologist re-iterated today that chemo not recommended for me due to N-0 and tumor size and location (1.5-2.0cm, left side base of tongue, right on the crest of the oral tongue). However, he added that the salivary gland relocation surgery in a week will allow further evaluation of primary tumor and nodes, so, chemo addition can be revisited then. Currently, the plan is RT alone. What worries me most is the Jan18->Sept25th delay between onset of noticable symptoms and eventual diagnosis--staging is not an exact science. It is for those reasons that adding chemo seemed prudent to me, despite the huge risks of chemo ("it will greatly exacerbate the RT side effects, and has numerous serious morbidity risks including nerve damage, including high end hearing loss, 1% mortality, and so on"). But I agreed today to RT alone with chance to reconsider that before Nov 27th start of RT.


PaulT