HI Brian -
Of course, we are constantly concerned, just as everyone that has faced this cancer is, but the RO told us that he felt the second or third cancer would have occurred anyway, even if he had IMRT treatment at the original site. At his recent appt. with his oral surgeon here, she told him his mouth hasn't looked this good in a long time, which was encouraging. He is constantly monitored by an oncologist, an ENT, his dentist, and an oral surgeon here, plus two top notch ENTs up at Shands in Gainesville, Florida. I remember his ENT here telling us that he has one patient who has had something like 40 or 50 surgeries for oral cancers over a period of many years (wish I had a better memory and could recall more details) and in her 70s (?), finally quit smoking. (my husband never smoked or has any of the risk factors) I guess each case has to be taken individually, and treatment offered to meet the needs of the patient. I appreciate your concerns, which are certainly legitimate, but since his first cancer over 6 years ago, we think we are on the right path for prevention (we pray) of recurrences, thru various treatments recommended for him. Again, thanks for your concerns.....Warmly, JaneP