Patient Advocate (1000+ posts) Joined: Mar 2003 Posts: 1,384 Likes: 1 | Beg if you want but I don't see much to differ about.
The first recorded description of a radical neck dissection is 1906. Surgeries to resect cancer in the head and neck go back considerably earlier. The word "routinely" is relative to many variables. But I have a lunch bet that more surgeries were performed over radiation treatments in any time period.
I was not trying to suggest that radiation is still experimental (I don't think I said anything close to that) Since radiation is delivered by very expensive machines, and surgery is much less expensive (from a historical perspective) and since it is still available only regionally, probably the trend is still surgery first then radiation. (that does not mean that is the best way.) Then other risk factors from the treatment need to be considered and added into the mix.
Since I have regularly supported and advocated radiation to be considered as a critical part of SCC treatments, and since I stated the same thing as you about the necessity of multiple expertise, I see virtually no important difference in what we said.
Mark, 21 Year survivor, SCC right tonsil, 3 nodes positive, one with extra-capsular spread. I never asked what stage (would have scared me anyway) Right side tonsillectomy, radical neck dissection right side, maximum radiation to both sides, no chemo, no PEG, age 40 when diagnosed.
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