IMRT is never spread around a large area - it is always specifically targeted. at midpoint they will often take a CT and make adjustments to the treatment plan programming. They will also target known areas of interest, nodes, other tonsil (AKA bilateral radiation - if applicable of course), etc. In Dan's case they will hit the area without the clear margins for sure. We don't see much adenocarcinoma around here, mostly SCC and a very few melanoma cases so your RO is still the best person to ask.

It's all a little mysterious honestly. My tumor had completely vanished at the 3 week point and they radiated me for the full time anyway.


Gary Allsebrook
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Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
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"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)