Yes and no. Brachytherapy (BT) places radiation directly at the cancer site and therefore delivers it's killing power directly to the source while minimizing damage to other cells. I have read other posters, Jim for one, that had it placed in his tongue so he can talk more about that. The main problem with Oral Cancer is that they may or may not know where the Primary is and they may or may not know about nodal involvement but they don't know where else it may already have spread to so they pretty much will concentrate on the known areas but also they will deliver radiation throughout the oral cavity and neck area to give us the best chance of not having a recurrence.

You have already had a recurrence so you need to get nuked IMHO.

David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.