Oscar,

My husband did not have chemo, as the docs said there wasn't any evidence of ECS and they were able to get clear margins, but not without a lot of cutting. After surgery he was treated with 6 weeks of radiation he and had his first post-treatment scan on Jan. 2nd, and it was clean.

I too was very concerned about the fact that they didn't think chemo was necessary, but given all the other problems he has had, I don't think he would have been able to withstand chemo at this time.

His reconstruction (free flap) failed and they had to do a pectoral flap, and since then he has had healing issues and chronic infections due to a fistula.

Hopefully, that will be helped by Oxygen treatments which he starts on 1/26.

His cancer was already at stage 4 because of the size of the tumor and because it had spread locally from the floor of the mouth to the mandible and the tongue, yet the docs felt that radiation alone would be effective.

Karen