Hello Again everyone,

My sincere hopes that everone is doing well on the roads to, and continued good health. Once again I find myself here seeking advice. Let me begin by saying that I am approx 1 year post-op and ENT says "everything looks good". Mouth has healed well, and none of my concerns "raise any red flags with him". However, I have received many different opinions from some who work in the medical profession and I wanted to get some opinions from this board, since I truly value all of the advice I have received here in the past. A few months ago, I visited an oncologisst (first time since surgery because of a couple vague symptoms), who ordered a CT of neck and of chest. On the ST neck CT a 1.5cm sub mandibular node was discovered. The explanation was that after a neck dissection, the remaining nodes have to "work harder to compensate". OK....well, a few months have past and there is another palpable node (much smaller, but discovered myself), on the left (side tumor was on), slightly anterior to hyoid bone. Again, I was given the same explanation, and that these were nothing to worry about "YET". The 1.5cm node (considered WNL in size and homogeneous), has not gotten any smaller, and now a new one "pops up". My question, should I be concerned, or or these just normal post-op changes. I work in Nuclear Medicine and truly feel that a PET/CT would be useful in evaluating the nodes. The argument from ENT, the false positive fasctor. OI realixze that this is a debatable issue and see both sides, however, if to evaluate nodes, I do not see ANY harm in having the scan. Once again, I thank you all for your help, and truly wish you all the very best. You are all in my prayers. Take care!!!!

Rick


Rick T
Stage II SCC(T2N0M0). Dx:Jan.05 Surgical removal w/Neck Dissection (nodes clear) Feb 1,2005.